RNAi Agents for Inhibiting Expression of Mucin 5AC (MUC5AC), Compositions Thereof, and Methods of Use

ABSTRACT

Described are RNAi agents, compositions that include RNAi agents, and methods for inhibition of a Mucin 5AC (MUC5AC) gene. The MUC5AC RNAi agents and RNAi agent conjugates disclosed herein inhibit the expression of an MUC5AC gene. Pharmaceutical compositions that include one or more MUC5AC RNAi agents, optionally with one or more additional therapeutics, are also described. Delivery of the described MUC5AC RNAi agents to pulmonary epithelial cells, in vivo, provides for inhibition of MUC5AC gene expression and a reduction in MUC5AC production, which can provide a therapeutic benefit to subjects, including human subjects, for the treatment of various diseases including mucoobstructive lung disease such as severe asthma and various cancers.

CROSS REFERENCE TO RELATED APPLICATIONS

This application claims priority from U.S. Provisional Patent Application Ser. No. 63/194,370, filed on May 28, 2021, the contents of which are incorporated herein by reference in its entirety.

SEQUENCE LISTING

This application contains a Sequence Listing which has been submitted in ASCII format and is hereby incorporated by reference in its entirety. The ASCII copy is named SEQLIST_30659.txt and is 460 kb in size.

FIELD OF THE INVENTION

The present disclosure relates to RNA interference (RNAi) agents, e.g., double stranded RNAi agents, for inhibition of Mucin 5AC (“MUC5AC”) gene expression, compositions that include MUC5AC RNAi agents, and methods of use thereof.

BACKGROUND

MUC5AC is a transcriptionally regulated secreted mucin expressed in airway epithelia of the lung and in other mucosal tissues (for example, gastrointestinal, urogenital, eye, and ear) (Lillehoj et al, Int Rev Cell Mol Biol, 2013). In airways. MUC5AC and MUC5B are the major gel-forming mucins. MUC5B is constitutively expressed and is required for mucociliary clearance (Roy et al., Nature 2014). Normal subjects have a relatively higher expression of MUC5B versus MUC5AC in the trachea and proximal airways, with this ratio further increasing in distal airways with expression of MUC5AC almost undetectable in distal and terminal bronchioles (Okuda et al., AJRCCM 2019). Typically expressed at low levels in the airway, MUC5AC expression can be robustly induced by external stress stimuli like pro-inflammatory mediators (including, for example, type 2 cytokines: IL-4, IL-9, IL-17, IL-23 and IL-13), noxious inhaled substances (for example, cigarette smoke, acrolein, toxic gases), viral infections, and allergens. The resulting mucus hypersecretion and hyperconcentration is understood to be a common pathogenic mechanism linked to airway obstruction in severe asthma and other mucoobstructive lung diseases such as cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), non-CF bronchiectasis (NCFB), and primary ciliary dyskinesia (PCD) (Boucher, NEJM 2019). In asthma, COPD, and NCFB patients, exaggerated expression and secretion of MUC5AC results in a narrowing of airway lumen, airway obstruction, and exacerbations (Dunican et al., JCI 2017; Bonser et al., JCI 2016; Kesimer et al., NEJM 2017; Ramsey et al., AJRCCM 2019). A genome-wide association study (GWAS) identified a novel MUC5AC allele linked to increased MUC5AC expression and patients with moderate-to-severe asthma (Shrine et al., Lancet Respir Med 2019). Experimental evidence from MUC5AC-deficient mice demonstrated that MUC5AC-mediated airway plugging is a major contributor to airway hyperresponsiveness to allergens independent of inflammation and bronchoconstriction (Evans et al, Nat Commun, 2015). Current standard of care treatments for severe asthma and other mucoobstructive lung diseases include bronchodilators and anti-inflammatory therapeutics (such as corticosteroids and biologics), but currently available treatments do not directly address pathogenic mucin overexpression and hypersecretion. Alternative approaches that directly treat mucus hypersecretion and obstruction are needed.

Increased expression of MUC5AC has also been observed in malignancies such as lung adenocarcinomas, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, ovarian cancer, and other tumors (Krishn et al., Carcinogenesis 2018), where it has been linked to migration and invasiveness of tumor cells. Loss-of-function mutations in MUC5AC and other mucin genes are significantly underrepresented in tumor cells, suggesting that mucin overexpression may shield tumors from recognition by immune cells (Gorlov et al., Cancer Genetics 2019). Tumor MUC5AC overexpression is associated with progression and poor survival in lung adenocarcinoma patients (Bauer et al., JCI Insight 2018). MUC5AC overexpression has also been linked to number of other conditions including: allergic rhinitis, chronic rhinosinusitis, otitis media. Barret's esophagus, pancreatitis, and inflammatory bowel disease (Krishn et al., Carcinogenesis 2018).

SUMMARY

There exists a need for novel RNA interference (RNAi) agents (termed RNAi agents, RNAi triggers, or triggers). e.g., double stranded RNAi agents, that are able to selectively and efficiently inhibit the expression of a MUC5AC gene, including for use as a therapeutic or medicament. Further, there exists a need for compositions of novel MUC5AC-specific RNAi agents for the treatment of diseases or disorders associated with mucus hypersecretion and obstruction (referred to herein as “mucoobstructive” lung diseases and disorders) such as for example cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), non-CF bronchiectasis (NCFB), primary ciliary dyskinesia (PCD), and asthma, and/or diseases or disorders that can be mediated at least in part by a reduction in MUC5AC gene expression and/or MUC5AC protein levels.

The nucleotide sequences and chemical modifications of the MUC5AC RNAi agents disclosed herein, as well as their combination with certain specific targeting ligands suitable for selectively and efficiently delivering the MUC5AC RNAi agents in vivo, differ from what is known in the art. The MUC5AC RNAi agents disclosed herein provide for highly potent and efficient inhibition of the expression of a MUC5AC gene and have sequences suitable for use as a therapeutic for the treatment of diseases and disorders.

In general, the present disclosure features MUC5AC gene-specific RNAi agents, compositions that include MUC5AC RNAi agents, and methods for inhibiting expression of a MUC5AC gene in vitro and/or in vivo using the MUC5AC RNAi agents and compositions that include MUC5AC RNAi agents described herein. The MUC5AC RNAi agents described herein are able to selectively and efficiently decrease expression of a MUC5AC gene, and thereby reduce the expression of the MUC5AC protein, which can lead to a therapeutic benefit such as, for example, a reduction in mucoobstruction in the lung.

The described MUC5AC RNAi agents can be used in methods for therapeutic treatment (including preventative or prophylactic treatment) of symptoms and diseases including, but not limited to, mucoobstructive lung diseases (such as asthma, CF, COPD, NCFB, PCD), allergic bronchopulmonary aspergillosis, interstitial lung diseases, cancer (such as lung adenocarcinomas, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, ovarian cancer, and other tumors), respiratory infections (such as respiratory syncytial virus, influenza, rhinovirus), otitis media, inflammatory bowel disease, gallstone disease, allergic rhinitis, chronic rhinosinusitis and nasal polyposis.

In one aspect, the disclosure features RNAi agents for inhibiting expression of a MUC5AC gene, wherein the RNAi agent includes a sense strand (also referred to as a passenger strand) and an antisense strand (also referred to as a guide strand). The sense strand and the antisense strand can be partially, substantially, or fully complementary to each other. The length of the RNAi agent sense strands described herein each can be 15 to 49 nucleotides in length. The length of the RNAi agent antisense strands described herein each can be 18 to 49 nucleotides in length. In some embodiments, the sense and antisense strands are independently 18 to 26 nucleotides in length. The sense and antisense strands can be either the same length or different lengths. In some embodiments, the sense and antisense strands are independently 21 to 26 nucleotides in length. In some embodiments, the sense and antisense strands are independently 21 to 24 nucleotides in length. In some embodiments, both the sense strand and the antisense strand are 21 nucleotides in length. In some embodiments, the antisense strands are independently 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides in length. In some embodiments, the sense strands are independently 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, or 49 nucleotides in length. The RNAi agents described herein, upon delivery to a cell expressing MUC5AC, inhibit the expression of one or more MUC5AC gene variants in vivo and/or in vitro.

The MUC5AC RNAi agents disclosed herein target a human MUC5AC gene (see. e.g., SEQ ID NO:1). In some embodiments, the MUC5AC RNAi agents disclosed herein target a portion of a MUC5AC gene having the sequence of any of the sequences disclosed in Table 1.

In another aspect, the disclosure features compositions, including pharmaceutical compositions, that include one or more of the disclosed MUC5AC RNAi agents that are able to selectively and efficiently decrease expression of a MUC5AC gene. The compositions that include one or more MUC5AC RNAi agents described herein can be administered to a subject, such as a human or animal subject, for the treatment (including prophylactic treatment or inhibition) of symptoms and diseases associated with MUC5AC gene expression and/or MUC5AC protein levels.

Examples of MUC5AC RNAi agent sense strands and antisense strands that can be used in a MUC5AC RNAi agent are provided in Tables 3, 4, 5, 6, and 7. Examples of MUC5AC RNAi agent duplexes are provided in Tables 8A, 8B, 8C, 9, 10A, 10B, and 11. Examples of 19-nucleotide core stretch sequences that may consist of or may be included in the sense strands and antisense strands of certain MUC5AC RNAi agents disclosed herein, are provided in Table 2.

In another aspect, the disclosure features methods for delivering MUC5AC RNAi agents to epithelial cells in a subject, such as a mammal, in vivo. Also described herein are compositions for use in such methods. In some embodiments, disclosed herein are methods for delivering MUC5AC RNAi agents to pulmonary cells (epithelial cells, macrophages, smooth muscle, endothelial cells) to a subject in vivo. In some embodiments, the subject is a human subject.

The methods disclosed herein include the administration of one or more MUC5AC RNAi agents to a subject, e.g., a human or animal subject, by any suitable means known in the art. The pharmaceutical compositions disclosed herein that include one or more MUC5AC RNAi agents can be administered in a number of ways depending upon whether local or systemic treatment is desired. Administration can be, but is not limited to, for example, intravenous, intraarterial, subcutaneous, intraperitoneal, subdermal (e.g., via an implanted device), and intraparenchymal administration. In some embodiments, the pharmaceutical compositions described herein are administered by inhalation (such as dry powder inhalation or aerosol inhalation), intranasal administration, intratracheal administration, or oropharyngeal aspiration administration.

In some embodiments, it is desired that the MUC5AC RNAi agents described herein inhibit the expression of an MUC5AC gene in the pulmonary epithelium, for which the administration is by inhalation (e.g., by an inhaler device, such as a metered-dose inhaler, or a nebulizer such as a jet or vibrating mesh nebulizer, or a soft mist inhaler).

The one or more MUC5AC RNAi agents can be delivered to target cells or tissues using any oligonucleotide delivery technology known in the art. In some embodiments, a MUC5AC RNAi agent is delivered to cells or tissues by covalently linking the RNAi agent to a targeting group. In some embodiments, the targeting group can include a cell receptor ligand, such as an integrin targeting ligand. Integrins are a family of transmembrane receptors that facilitate cell-extracellular matrix (ECM) adhesion. In particular, integrin alpha-v-beta-6 (αvβ6) is an epithelial-specific integrin that is known to be a receptor for ECM proteins and the TGF-beta latency-associated peptide (LAP), and is expressed in various cells and tissues. Integrin αvβ6 is known to be highly upregulated in injured pulmonary epithelium. In some embodiments, the MUC5AC RNAi agents described herein are linked to an integrin targeting ligand that has affinity for integrin αvβ6. As referred to herein, an “αvβ6 integrin targeting ligand” is a compound that has affinity for integrin αvβ6, which can be utilized as a ligand to facilitate the targeting and delivery of an RNAi agent to which it is attached to the desired cells and/or tissues (i.e., to cells expressing integrin αvβ6). In some embodiments, multiple αvβ6 integrin targeting ligands or clusters of αvβ6 integrin targeting ligands are linked to a MUC5AC RNAi agent. In some embodiments, the MUC5AC RNAi agent-αvβ6 integrin targeting ligand conjugates are selectively internalized by lung epithelial cells, either through receptor-mediated endocytosis or by other means.

Examples of targeting groups useful for delivering MUC5AC RNAi agents that include αvβ6 integrin targeting ligands are disclosed, for example, in International Patent Application Publication No. WO 2018/085415 and International Patent Application Publication No. WO 2019/089765, the contents of each of which are incorporated by reference herein in their entirety.

A targeting group can be linked to the 3′ or 5′ end of a sense strand or an antisense strand of a MUC5AC RNAi agent. In some embodiments, a targeting group is linked to the 3′ or 5′ end of the sense strand. In some embodiments, a targeting group is linked to the 5′ end of the sense strand. In some embodiments, a targeting group is linked internally to a nucleotide on the sense strand and/or the antisense strand of the RNAi agent. In some embodiments, a targeting group is linked to the RNAi agent via a linker.

In another aspect, the disclosure features compositions that include one or more MUC5AC RNAi agents that have the duplex structures disclosed in Tables 8A, 8B, 8C, 9, 10A, 10B, and 11.

The use of MUC5AC RNAi agents provides methods for therapeutic (including prophylactic) treatment of diseases or disorders for which a reduction in MUC5AC gene expression and/or a reduction in MUC5AC protein levels can provide a therapeutic benefit. The MUC5AC RNAi agents disclosed herein can be used to treat various diseases, including mucoobstructive lung diseases (such as asthma, CF, COPD, NCFB, PCD), allergic bronchopulmonary aspergillosis, interstitial lung diseases, cancer (such as lung adenocarcinomas, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, ovarian cancer, and other tumors), respiratory infections (such as respiratory syncytial virus, influenza, rhinovirus), otitis media, inflammatory bowel disease, gallstone disease, allergic rhinitis, chronic rhinosinusitis and nasal polyposis. In some embodiments, the MUC5AC RNAi agents disclosed herein can be used to treat a mucoobstructive lung disease, such as severe asthma or COPD. MUC5AC RNAi agents can further be used to treat, for example, various cancers. Such methods of treatment include administration of a MUC5AC RNAi agent to a human being or animal having elevated or enhanced MUC5AC gene expression and/or MUC5AC protein levels above what is desired.

One aspect described herein is an RNAi agent for inhibiting expression of a MUC5AC gene, comprising:

-   -   (i) an antisense strand that is between 18 and 49 nucleotides in         length that includes a nucleotide sequence at least partially         complementary to a corresponding stretch of contiguous         nucleotides of the MUC5AC gene transcript (SEQ ID NO:1); and     -   (ii) a sense strand comprising a nucleotide sequence that is at         least partially complementary to the antisense strand;         wherein the RNAi agent sense strand is optionally further linked         to a targeting ligand, and         wherein RNAi agent is capable of inhibiting expression of a         MUC5AC gene.

Another aspect described herein is an RNAi agent for inhibiting expression of a MUC5AC gene, comprising:

-   -   (i) an antisense strand comprising at least 17 contiguous         nucleotides differing by 0 or 1 nucleotides from any one of the         sequences provided in Table 3; and     -   (ii) a sense strand comprising a nucleotide sequence that is at         least partially complementary to the antisense strand;         wherein the RNAi agent sense strand is optionally further linked         to a targeting ligand, and         wherein RNAi agent is capable of inhibiting expression of a         MUC5AC gene.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a sequence differing by 0 or 1 nucleobases from the nucleotide sequence (5′→3′) UUGUAGUAGUCGCAGAACAGC (SEQ ID NO: 1525). In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) UUGUAGUAGUCGCAGAACAGC (SEQ ID NO: 1525), wherein all or substantially all of the nucleotides are modified nucleotides. In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleobase sequence differing by 0 or 1 nucleobases from the nucleotide sequence (5′→3′) UUGUAGUAGUCGCAGAACAGC (SEQ ID NO: 1525), wherein SEQ ID NO: 1525 is located at positions 1-21 (5′→3′) of the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc (SEQ ID NO: 1127), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand. As the person of ordinary skill in the art would clearly understand, the inclusion of a phosphorothioate linkage as shown in the modified nucleotide sequences disclosed herein replaces the phosphodiester linkage typically present in oligonucleotides (see, e.g., FIGS. 3A through 3J showing all internucleoside linkages). In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises the nucleotide sequence (5′→3′) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc (SEQ ID NO: 1127), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc (SEQ ID NO: 1065), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand. In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises the nucleotide sequence (5′→3′) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc (SEQ ID NO: 1065), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleobase sequence differing by 0 or 1 nucleobases from the nucleotide sequence (5′→3′) UUCUUGUUCAGGCAAAUCAGC (SEQ ID NO: 1535). In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) UUCUUGUUCAGGCAAAUCAGC (SEQ ID NO: 1535), wherein all or substantially all of the nucleotides are modified nucleotides. In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleobase sequence differing by 0 or 1 nucleobases from the nucleotide sequence (5′→3′) UUCUUGUUCAGGCAAAUCAGC (SEQ ID NO: 1535), wherein SEQ ID NO: 1535 is located at positions 1-21 (5′→3′) of the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) usUfscsuuguucagGfcAfaAfucagsc (SEQ ID NO: 1166), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand. As the person of ordinary skill in the art would clearly understand, the inclusion of a phosphorothioate linkage as shown in the modified nucleotide sequences disclosed herein replaces the phosphodiester linkage typically present in oligonucleotides (see, e.g., FIGS. 3A through 3J showing all internucleoside linkages). In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises the nucleotide sequence (5′→3′) usUfscsuuguucagGfcAfaAfucagsc (SEQ ID NO: 1166), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence differing by no more than 1 nucleotide from the nucleotide sequence (5′→3′) cPrpuUfcuuguucagGfcAfaAfucagsc (SEQ ID NO: 1191), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand. As the person of ordinary skill in the art would clearly understand, the inclusion of a phosphorothioate linkage as shown in the modified nucleotide sequences disclosed herein replaces the phosphodiester linkage typically present in oligonucleotides (see, e.g., FIGS. 3A through 3J showing all internucleoside linkages). In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises the nucleotide sequence (5′→3′) cPrpuUfcuuguucagGfcAfaAfucagsc (SEQ ID NO: 1191), wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; and s represents a phosphorothioate linkage, and wherein the sense strand is at least substantially complementary to the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1525) UUGUAGUAGUCGCAGAACAGC; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC; wherein the MUC5AC RNAi agent further includes a sense strand that is at least partially complementary to the antisense strand; and wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1525) UUGUAGUAGUCGCAGAACAGC; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC; wherein the MUC5AC RNAi agent further includes a sense strand that is at least partially complementary to the antisense strand; wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides; and wherein the sense strand further includes inverted abasic residues at the 3′ terminal end and at the 5′ end of the nucleotide sequence, and the sense strand also includes a targeting ligand that is covalently linked to the 5′ terminal end, wherein the targeting ligand includes a compound having affinity for an integrin receptor.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1525) UUGUAGUAGUCGCAGAACAGC; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC; wherein the MUC5AC RNAi agent further includes a sense strand that is at least partially complementary to the antisense strand; wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides; and wherein the sense strand further includes inverted abasic residues at the 3′ terminal end and at the 5′ end of the nucleotide sequence, and the sense strand also includes a targeting ligand that is covalently linked to the 5′ terminal end, wherein the targeting ligand includes a compound having affinity for an integrin receptor; and wherein the respective antisense strand sequence is located at positions 1-21 of the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand, wherein the antisense strand and the sense strand consist of, consist essentially of, or comprise nucleotide sequences that differ by 0 or 1 nucleotides from one of the following nucleotide sequence (5′→3′) pairs:

(SEQ ID NO: 1525) UUGUAGUAGUCGCAGAACAGC  and (SEQ ID NO: 1617) GCUGUUCUGCGACUACUACAA; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC and (SEQ ID NO: 1632) GCUGAUUUGCCUGAACAAGAA; wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand, wherein the antisense strand and the sense strand consist of, consist essentially of, or comprise nucleotide sequences that differ by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′) pairs:

(SEQ ID NO: 1525) UUGUAGUAGUCGCAGAACAGC and (SEQ ID NO: 1617) GCUGUUCUGCGACUACUACAA; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC and (SEQ ID NO: 1632) GCUGAUUUGCCUGAACAAGAA; wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides; and wherein the sense strand further includes inverted abasic residues at the 3′ terminal end and at the 5′ end of the nucleotide sequence, and the sense strand also includes a targeting ligand that is covalently linked to the 5′ terminal end, wherein the targeting ligand includes a compound with affinity for an integrin receptor.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1127) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc; (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc; wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; s represents a phosphorothioate linkage; and wherein the MUC5AC RNAi agent further includes the sense strand that is at least partially complementary to the antisense strand; and wherein all or substantially all of the nucleotides of the sense strand are modified nucleotides.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that consists of, consists essentially of, or comprises a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1127) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc; (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc; wherein the MUC5AC RNAi agent further includes the sense strand that is at least partially complementary to the antisense strand; wherein all or substantially all of the nucleotides of the sense strand are modified nucleotides; wherein all or substantially all of the nucleotides on both the antisense strand and the sense strand are modified nucleotides; and wherein the sense strand further includes inverted abasic residues at the 3′ terminal end and at the 5′ end of the nucleotide sequence, and the sense strand also includes a targeting ligand that is covalently linked to the 5′ terminal end, wherein the targeting ligand includes a compound with affinity for an integrin receptor.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand that consists of, consists essentially of, or comprises one of the following nucleotide sequence pairs (5′→3′):

(SEQ ID NO: 1127) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc and (SEQ ID NO: 1265) gscuguucuGfCfGfacuacuacaa; (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc and (SEQ ID NO: 1265) gscuguucuGfCfGfacuacuacaa; (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc and (SEQ ID NO: 1315) gscugauUfuGfcCfugaacaagaa; and (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc and (SEQ ID NO: 1315) gscugauUfuGfcCfugaacaagaa; wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; and s represents a phosphorothioate linkage; and wherein the sense strand also includes a targeting ligand having affinity for an integrin receptor, wherein the targeting ligand is optionally linked at the 5′-end of the sense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand that consists of, consists essentially of, or comprises modified nucleotide sequences that differs by 0 or 1 nucleotides from one of the following sequence pairs (5′→3′):

(SEQ ID NO: 1127) cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc and (SEQ ID NO: 1491) Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacua caas(invAb); (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc and (SEQ ID NO: 1491) Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacua caas(invAb); (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc and (SEQ ID NO: 1513) Tri-SM6.1-avb6-(TA14)gscugauUfuGfcCfugaacaa gaas(invAb); (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc and (SEQ ID NO: 1513) Tri-SM6.1-avb6-(TA14)gscugauUfuGfcCfugaacaa gaas(invAb); wherein a, c, g, and u represent 2′-O-methyl adenosine, cytidine, guanosine, and uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, cytidine, guanosine, and uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyluridine; Tri-SM6.1-αvβ6-(TA14) represents the tridentate αvβ6 epithelial cell targeting ligand with the chemical structure as shown in FIG. 1 ; (invAb) represents an inverted abasic deoxyribonucleotide (see also Table 11), and s represents a phosphorothioate linkage.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that includes a nucleobase sequence that differs by 0 or 1 nucleobases from the nucleotide sequences selected from the group consisting of (5′→3′):

(SEQ ID NO: 79) UUGUAGUAGUCGCAGAACA; and (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that includes a nucleobase sequence that differs by 0 or 1 nucleobases from the nucleotide sequences selected from the group consisting of (5′→3′):

(SEQ ID NO: 79) UUGUAGUAGUCGCAGAACA; and (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA; wherein all or substantially all of the nucleotides are modified nucleotides.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand that includes a nucleobase sequence that differs by 0 or 1 nucleobases from the nucleotide sequences selected from the group consisting of (5′→3′):

(SEQ ID NO: 79) UUGUAGUAGUCGCAGAACA; and (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA; wherein all or substantially all of the nucleotides are modified nucleotides, and wherein SEQ ID NO:79 and SEQ ID NO: 83, respectively, is located at nucleotide positions 1-19 (5′ 4 3′) of the antisense strand.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand that each include a nucleobase sequences that differs by 0 or 1 nucleobases from the nucleotide sequence pairs selected from the group consisting of (5′→3′):

(SEQ ID NO: 79) UUGUAGUAGUCGCAGAACA; and (SEQ ID NO: 568) UGUUCUGCGACUACUACAA; or (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA and (SEQ ID NO: 572) UGAUUUGCCUGAACAAGAA.

In some embodiments, a MUC5AC RNAi agent disclosed herein includes an antisense strand and a sense strand that each include a nucleobase sequences that differs by 0 or 1 nucleobases from the nucleotide sequence pairs selected from the group consisting of (5′→3′)

(SEQ ID NO: 79) UUGUAGUAGUCGCAGAACA; and (SEQ ID NO: 568) UGUUCUGCGACUACUACAA; or (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA and (SEQ ID NO: 572) UGAUUUGCCUGAACAAGAA; wherein all or substantially all of the nucleotides are modified nucleotides.

Definitions

As used herein, the terms “oligonucleotide” and “polynucleotide” mean a polymer of linked nucleosides each of which can be independently modified or unmodified.

As used herein, an “RNAi agent” (also referred to as an “RNAi trigger”) means a composition that contains an RNA or RNA-like (e.g., chemically modified RNA) oligonucleotide molecule that is capable of degrading or inhibiting (e.g., degrades or inhibits under appropriate conditions) translation of targeted messenger RNA (mRNA) transcripts in a sequence specific manner. As used herein, RNAi agents may operate through the RNA interference mechanism (i.e., inducing RNA interference through interaction with the RNA interference pathway machinery (RNA-induced silencing complex or RISC) of mammalian cells), or by any alternative mechanism(s) or pathway(s). While it is believed that RNAi agents, as that term is used herein, operate primarily through the RNA interference mechanism, the disclosed RNAi agents are not bound by or limited to any particular pathway or mechanism of action. RNAi agents disclosed herein are comprised of a sense strand and an antisense strand, and include, but are not limited to: small (or short) interfering RNAs (siRNAs), double stranded RNAs (dsRNA), micro RNAs (miRNAs), short hairpin RNAs (shRNA), and dicer substrates. The antisense strand of the RNAi agents described herein is at least partially complementary to the mRNA being targeted (i.e., MUC5AC mRNA). RNAi agents can include one or more modified nucleotides and/or one or more non-phosphodiester linkages.

As used herein, the terms “silence,” “reduce,” “inhibit,” “down-regulate,” or “knockdown” when referring to expression of a given gene, mean that the expression of the gene, as measured by the level of RNA transcribed from the gene or the level of polypeptide, protein, or protein subunit translated from the mRNA in a cell, group of cells, tissue, organ, or subject in which the gene is transcribed, is reduced when the cell, group of cells, tissue, organ, or subject is treated with the RNAi agents described herein as compared to a second cell, group of cells, tissue, organ, or subject that has not or have not been so treated.

As used herein, the terms “sequence” and “nucleotide sequence” mean a succession or order of nucleobases or nucleotides, described with a succession of letters using standard nomenclature. Unless otherwise indicated, nucleotide sequences are written left to right in 5′ to 3′ orientation.

As used herein, a “base,” “nucleotide base,” or “nucleobase,” is a heterocyclic pyrimidine or purine compound that is a component of a nucleotide, and includes the primary purine bases adenine and guanine, and the primary pyrimidine bases cytosine, thymine, and uracil. A nucleobase may further be modified to include, without limitation, universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases. (See. e.g., Modified Nucleosides in Biochemistry, Biotechnology and Medicine, Herdewijn, P. ed. Wiley-VCH, 2008). The synthesis of such modified nucleobases (including phosphoramidite compounds that include modified nucleobases) is known in the art.

As used herein, the term “nucleotide” has the same meaning as commonly understood in the art. Thus, the term “nucleotide” as used herein, refers to a glycoside comprising a sugar moiety, a base moiety and a covalently linked group (linkage group), such as a phosphate or phosphorothioate internucleoside linkage group, and covers both naturally occurring nucleotides, such as DNA or RNA, and non-naturally occurring nucleotides comprising modified sugar and/or base moieties, which are also referred to as nucleotide analogs or modified nucleotides herein. A single nucleotide may be referred to here as a monomer or unit.

As used herein, and unless otherwise indicated, the term “complementary,” when used to describe a first nucleobase or nucleotide sequence (e.g., RNAi agent sense strand or targeted mRNA) in relation to a second nucleobase or nucleotide sequence (e.g., RNAi agent antisense strand or a single-stranded antisense oligonucleotide), means the ability of an oligonucleotide or polynucleotide including the first nucleotide sequence to hybridize (form base pair hydrogen bonds under mammalian physiological conditions (or otherwise suitable in vivo or in vitro conditions)) and form a duplex or double helical structure under certain standard conditions with an oligonucleotide that includes the second nucleotide sequence. The person of ordinary skill in the art would be able to select the set of conditions most appropriate for a hybridization test. Complementary sequences include Watson-Crick base pairs or non-Watson-Crick base pairs and include natural or modified nucleotides or nucleotide mimics, at least to the extent that the above hybridization requirements are fulfilled. Sequence identity or complementarity is independent of modification. For example, a and Af, as defined herein, are complementary to U (or T) and identical to A for the purposes of determining identity or complementarity.

As used herein, “perfectly complementary” or “fully complementary” means that in a hybridized pair of nucleobase or nucleotide sequence molecules, all (100%) of the bases in a contiguous sequence of a first oligonucleotide will hybridize with the same number of bases in a contiguous sequence of a second oligonucleotide. The contiguous sequence may comprise all or a part of a first or second nucleotide sequence.

As used herein, “partially complementary” means that in a hybridized pair of nucleobase or nucleotide sequence molecules, at least 70%, but not all, of the bases in a contiguous sequence of a first oligonucleotide will hybridize with the same number of bases in a contiguous sequence of a second oligonucleotide. The contiguous sequence may comprise all or a part of a first or second nucleotide sequence.

As used herein, “substantially complementary” means that in a hybridized pair of nucleobase or nucleotide sequence molecules, at least 85%, but not all, of the bases in a contiguous sequence of a first oligonucleotide will hybridize with the same number of bases in a contiguous sequence of a second oligonucleotide. The contiguous sequence may comprise all or a part of a first or second nucleotide sequence.

As used herein, the terms “complementary,” “fully complementary,” “partially complementary,” and “substantially complementary” are used with respect to the nucleobase or nucleotide matching between the sense strand and the antisense strand of an RNAi agent, or between the antisense strand of an RNAi agent and a sequence of an MUC5AC mRNA.

As used herein, the term “substantially identical” or “substantial identity,” as applied to a nucleic acid sequence means the nucleotide sequence (or a portion of a nucleotide sequence) has at least about 85% sequence identity or more, e.g., at least 90%, at least 95%, or at least 99% identity, compared to a reference sequence. Percentage of sequence identity is determined by comparing two optimally aligned sequences over a comparison window. The percentage is calculated by determining the number of positions at which the same type of nucleic acid base occurs in both sequences to yield the number of matched positions, dividing the number of matched positions by the total number of positions in the window of comparison and multiplying the result by 100 to yield the percentage of sequence identity. The inventions disclosed herein encompass nucleotide sequences substantially identical to those disclosed herein.

As used herein, the terms “treat,” “treatment,” and the like, mean the methods or steps taken to provide relief from or alleviation of the number, severity, and/or frequency of one or more symptoms of a disease in a subject. As used herein, “treat” and “treatment” may include the prevention, management, prophylactic treatment, and/or inhibition or reduction of the number, severity, and/or frequency of one or more symptoms of a disease in a subject.

As used herein, the phrase “introducing into a cell,” when referring to an RNAi agent, means functionally delivering the RNAi agent into a cell. The phrase “functional delivery,” means delivering the RNAi agent to the cell in a manner that enables the RNAi agent to have the expected biological activity, e.g., sequence-specific inhibition of gene expression.

Unless stated otherwise, use of the symbol

as used herein means that any group or groups may be linked thereto that is in accordance with the scope of the inventions described herein.

As used herein, the term “isomers” refers to compounds that have identical molecular formulae, but that differ in the nature or the sequence of bonding of their atoms or in the arrangement of their atoms in space. Isomers that differ in the arrangement of their atoms in space are termed “stereoisomers.” Stereoisomers that are not mirror images of one another are termed “diastereoisomers,” and stereoisomers that are non-superimposable mirror images are termed “enantiomers,” or sometimes optical isomers. A carbon atom bonded to four non-identical substituents is termed a “chiral center.”

As used herein, unless specifically identified in a structure as having a particular conformation, for each structure in which asymmetric centers are present and thus give rise to enantiomers, diastereomers, or other stereoisomeric configurations, each structure disclosed herein is intended to represent all such possible isomers, including their optically pure and racemic forms. For example, the structures disclosed herein are intended to cover mixtures of diastereomers as well as single stereoisomers.

As used in a claim herein, the phrase “consisting of” excludes any element, step, or ingredient not specified in the claim. When used in a claim herein, the phrase “consisting essentially of” limits the scope of a claim to the specified materials or steps and those that do not materially affect the basic and novel characteristic(s) of the claimed invention.

The person of ordinary skill in the art would readily understand and appreciate that the compounds and compositions disclosed herein may have certain atoms (e.g., N, O, or S atoms) in a protonated or deprotonated state, depending upon the environment in which the compound or composition is placed. Accordingly, as used herein, the structures disclosed herein envisage that certain functional groups, such as, for example, OH, SH, or NH, may be protonated or deprotonated. The disclosure herein is intended to cover the disclosed compounds and compositions regardless of their state of protonation based on the environment (such as pH), as would be readily understood by the person of ordinary skill in the art. Correspondingly, compounds described herein with labile protons or basic atoms should also be understood to represent salt forms of the corresponding compound. Compounds described herein may be in a free acid, free base, or salt form. Pharmaceutically acceptable salts of the compounds described herein should be understood to be within the scope of the invention.

As used herein, the term “linked” or “conjugated” when referring to the connection between two compounds or molecules means that two compounds or molecules are joined by a covalent bond. Unless stated, the terms “linked” and “conjugated” as used herein may refer to the connection between a first compound and a second compound either with or without any intervening atoms or groups of atoms.

As used herein, the term “including” is used to herein mean, and is used interchangeably with, the phrase “including but not limited to.” The term “or” is used herein to mean, and is used interchangeably with, the term “and/or,” unless the context clearly indicates otherwise.

Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art. Although methods and materials similar or equivalent to those described herein can be used in the practice or testing of the present invention, suitable methods and materials are described below. All publications, patent applications, patents, and other references mentioned herein are incorporated by reference in their entirety. In case of conflict, the present specification, including definitions, will control. In addition, the materials, methods, and examples are illustrative only and not intended to be limiting.

Where a value is explicitly recited, it is to be understood that values which are about the same quantity or amount as the recited value are also within the scope of the disclosure. Where a combination is disclosed, each sub-combination of the elements of that combination is also specifically disclosed and is within the scope of the disclosure. Conversely, where different elements or groups of elements are individually disclosed, combinations thereof are also disclosed. Where any element of a disclosure is disclosed as having a plurality of alternatives, examples of that disclosure in which each alternative is excluded singly or in any combination with the other alternatives are also hereby disclosed; more than one element of a disclosure can have such exclusions, and all combinations of elements having such exclusions are hereby disclosed.

Other objects, features, aspects, and advantages of the invention will be apparent from the following detailed description, accompanying figures, and from the claims.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 . Chemical structure representation of the tridentate αvβ6 epithelial cell targeting ligand referred to herein as Tri-SM6.1-αvβ6-(TA14).

FIG. 2 . Chemical structure representation of the peptide αvβ6 epithelial cell targeting ligand referred to herein as αvβ6-pep1.

The following abbreviations are used in FIGS. 3A to 3J: a, c, g, i, and u are 2′-O-methyl modified nucleotides; Af, Cf, Gf, and Uf are 2′-fluoro modified nucleotides; o is a phosphodiester linkage; s is a phosphorothioate linkage; invAb is an inverted abasic residue (see, e.g., Table 11); cPrpu is a 5′-cyclopropyl phosphonate-2′-O-methyluridine modified nucleotide (see, e.g., Table 11); Tri-SM6.1-αvβ6-(TA14) is the tridentate αvβ6 epithelial cell targeting ligand having the structure shown in FIG. 1 ; and (TriAlk14) is the linking group as shown in Table 11, which is suitable for subsequent coupling to targeting ligands (See also. Example 1 herein).

FIG. 3A. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent conjugate having the structure of AC000437 (see, e.g., Tables 9, 10, and 11), having a tridentate αvβ6 epithelial cell targeting ligand linked at the 5′ end of the sense strand.

FIG. 3B. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent conjugate having the structure of AC000480 (see, e.g., Tables 9, 10, and 11), having a tridentate αvβ6 epithelial cell targeting ligand linked at the 5′ end of the sense strand.

FIG. 3C. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent conjugate having the structure of AC000482 (see, e.g., Tables 9, 10, and 11), having a tridentate αvβ6 epithelial cell targeting ligand linked at the 5′ end of the sense strand.

FIG. 3D. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent conjugate having the structure of AC0001305 (see, e.g., Tables 9, 10, and 11), having a tridentate αvβ6 epithelial cell targeting ligand linked at the 5′ end of the sense strand.

FIG. 3E. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent conjugate having the structure of AC0001306 (see, e.g., Tables 9, 10, and 11), having a tridentate αvβ6 epithelial cell targeting ligand linked at the 5′ end of the sense strand.

FIG. 3F. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent duplex having the structure of AD08089 (see, e.g., Tables 8 and 10), having a (TriAlk14) linker at the 5′ end of the sense strand.

FIG. 3G. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent duplex having the structure of AD08174 (see, e.g., Tables 8 and 10), having a (TriAlk14) linker at the 5′ end of the sense strand.

FIG. 3H. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent duplex having the structure of AD08173 (see, e.g., Tables 8 and 10), having a (TriAlk14) linker at the 5′ end of the sense strand.

FIG. 3I. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent duplex having the structure of AD09240 (see, e.g., Tables 8 and 10), having a (TriAlk14) linker at the 5′ end of the sense strand.

FIG. 3J. Schematic diagram of the modified sense and antisense strands of the MUC5AC RNAi agent duplex having the structure of AD09241 (see, e.g., Tables 8 and 10), having a (TriAlk14) linker at the 5′ end of the sense strand.

DETAILED DESCRIPTION RNAi Agents

Described herein are RNAi agents for inhibiting expression of a MUC5AC gene (referred to herein as MUC5AC RNAi agents or MUC5AC RNAi triggers). Each MUC5AC RNAi agent disclosed herein comprises a sense strand and an antisense strand. The sense strand can be 15 to 49 nucleotides in length. The antisense strand can be 18 to 49 nucleotides in length. The sense and antisense strands can be either the same length or they can be different lengths. In some embodiments, the sense and antisense strands are each independently 18 to 27 nucleotides in length. In some embodiments, both the sense and antisense strands are each 21-26 nucleotides in length. In some embodiments, the sense and antisense strands are each 21-24 nucleotides in length. In some embodiments, the sense and antisense strands are each independently 19-21 nucleotides in length. In some embodiments, the sense strand is about 19 nucleotides in length while the antisense strand is about 21 nucleotides in length. In some embodiments, the sense strand is about 21 nucleotides in length while the antisense strand is about 23 nucleotides in length. In some embodiments, a sense strand is 23 nucleotides in length and an antisense strand is 21 nucleotides in length. In some embodiments, both the sense and antisense strands are each 21 nucleotides in length. In some embodiments, the RNAi agent antisense strands are each independently 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, or 30 nucleotides in length. In some embodiments, the RNAi agent sense strands are each independently 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, or 49 nucleotides in length. The sense and antisense strands are annealed to form a duplex, and in some embodiments, a double-stranded RNAi agent has a duplex length of about 15, 16, 17, 18, 19, 20, 21, 22, 23 or 24 nucleotides.

Examples of nucleotide sequences used in forming MUC5AC RNAi agents are provided in Tables 2, 3, 4, 5, 6, 7, and 11. Examples of RNAi agent duplexes, that include the sense strand and antisense strand sequences in Tables 2, 3, 4, 5, 6, and 7 are shown in Tables 8A, 8B, 8C, 9, 10A, 10B, and 11.

In some embodiments, the region of perfect, substantial, or partial complementarity between the sense strand and the antisense strand is 15-26 (e.g., 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, or 26) nucleotides in length and occurs at or near the 5′ end of the antisense strand (e.g., this region may be separated from the 5′ end of the antisense strand by 0, 1, 2, 3, or 4 nucleotides that are not perfectly, substantially, or partially complementary).

A sense strand of the MUC5AC RNAi agents described herein includes at least 15 consecutive nucleotides that have at least 85% identity to a core stretch sequence (also referred to herein as a “core stretch” or “core sequence”) of the same number of nucleotides in an MUC5AC mRNA. In some embodiments, a sense strand core stretch sequence is 100% (perfectly) complementary or at least about 85% (substantially) complementary to a core stretch sequence in the antisense strand, and thus the sense strand core stretch sequence is typically perfectly identical or at least about 85% identical to a nucleotide sequence of the same length (sometimes referred to, e.g., as a target sequence) present in the MUC5AC mRNA target. In some embodiments, this sense strand core stretch is 15, 16, 17, 18, 19, 20, 21, 22, 23, or 24 nucleotides in length. In some embodiments, this sense strand core stretch is 17 nucleotides in length. In some embodiments, this sense strand core stretch is 19 nucleotides in length.

An antisense strand of a MUC5AC RNAi agent described herein includes at least 18 consecutive nucleotides that have at least 85% complementarity to a core stretch of the same number of nucleotides in an MUC5AC mRNA and to a core stretch of the same number of nucleotides in the corresponding sense strand. In some embodiments, an antisense strand core stretch is 100% (perfectly) complementary or at least about 85% (substantially) complementary to a nucleotide sequence (e.g., target sequence) of the same length present in the MUC5AC mRNA target. In some embodiments, this antisense strand core stretch is 15, 16, 17, 18, 19, 20, 21, 22, 23, or 24 nucleotides in length. In some embodiments, this antisense strand core stretch is 19 nucleotides in length. In some embodiments, this antisense strand core stretch is 17 nucleotides in length. In some embodiments, this antisense strand core stretch is 21 nucleotides in length. A sense strand core stretch sequence can be the same length as a corresponding antisense core stretch sequence or it can be a different length.

The MUC5AC RNAi agent sense and antisense strands anneal to form a duplex. A sense strand and an antisense strand of a MUC5AC RNAi agent can be partially, substantially, or fully complementary to each other. Within the complementary duplex region, the sense strand core stretch sequence is at least 85% complementary or 100% complementary to the antisense core stretch sequence. In some embodiments, the sense strand core stretch sequence contains a sequence of at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or at least 23 nucleotides that is at least 85% or 100% complementary to a corresponding 15, 16, 17, 18, 19, 20, 21, 22, 23, or 24 nucleotide sequence of the antisense strand core stretch sequence (i.e., the sense and antisense core stretch sequences of a MUC5AC RNAi agent have a region of at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, at least 23, or at least 24 nucleotides that is at least 85% base paired or 100% base paired.)

In some embodiments, the antisense strand of a MUC5AC RNAi agent disclosed herein differs by 0, 1, 2, or 3 nucleotides from any of the antisense strand sequences in Table 2, Table 3, or Table 11. In some embodiments, the sense strand of a MUC5AC RNAi agent disclosed herein differs by 0, 1, 2, or 3 nucleotides from any of the sense strand sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

In some embodiments, the sense strand and/or the antisense strand can optionally and independently contain an additional 1, 2, 3, 4, 5, or 6 nucleotides (extension) at the 3′ end, the 5′ end, or both the 3′ and 5′ ends of the core stretch sequences. The antisense strand additional nucleotides, if present, may or may not be complementary to the corresponding sequence in the MUC5AC mRNA. The sense strand additional nucleotides, if present, may or may not be identical to the corresponding sequence in the MUC5AC mRNA. The antisense strand additional nucleotides, if present, may or may not be complementary to the corresponding sense strand's additional nucleotides, if present.

As used herein, an extension comprises 1, 2, 3, 4, 5, or 6 nucleotides at the 5′ and/or 3′ end of the sense strand core stretch sequence and/or antisense strand core stretch sequence. The extension nucleotides on a sense strand may or may not be complementary to nucleotides, either core stretch sequence nucleotides or extension nucleotides, in the corresponding antisense strand. Conversely, the extension nucleotides on an antisense strand may or may not be complementary to nucleotides, either core stretch nucleotides or extension nucleotides, in the corresponding sense strand. In some embodiments, both the sense strand and the antisense strand of an RNAi agent contain 3′ and 5′ extensions. In some embodiments, one or more of the 3′ extension nucleotides of one strand base pairs with one or more 5′ extension nucleotides of the other strand. In other embodiments, one or more of 3′ extension nucleotides of one strand do not base pair with one or more 5′ extension nucleotides of the other strand. In some embodiments, a MUC5AC RNAi agent has an antisense strand having a 3′ extension and a sense strand having a 5′ extension. In some embodiments, the extension nucleotide(s) are unpaired and form an overhang. As used herein, an “overhang” refers to an extension or stretch of one or more unpaired nucleotides located at a terminal end of either the sense strand or the antisense strand that does not form part of the hybridized or duplexed portion of an RNAi agent disclosed herein.

In some embodiments, a MUC5AC RNAi agent comprises an antisense strand having a 3′ extension of 1, 2, 3, 4, 5, or 6 nucleotides in length. In other embodiments, a MUC5AC RNAi agent comprises an antisense strand having a 3′ extension of 1, 2, or 3 nucleotides in length. In some embodiments, one or more of the antisense strand extension nucleotides comprise nucleotides that are complementary to the corresponding MUC5AC mRNA sequence. In some embodiments, one or more of the antisense strand extension nucleotides comprise nucleotides that are not complementary to the corresponding MUC5AC mRNA sequence.

In some embodiments, a MUC5AC RNAi agent comprises a sense strand having a 3′ extension of 1, 2, 3, 4, or 5 nucleotides in length. In some embodiments, one or more of the sense strand extension nucleotides comprises adenosine, uracil, or thymidine nucleotides, AT dinucleotide, or nucleotides that correspond to or are the identical to nucleotides in the MUC5AC mRNA sequence. In some embodiments, the 3′ sense strand extension includes or consists of one of the following sequences, but is not limited to: T, UT, TT, UU, UUT, TIT, or TITT (each listed 5′ to 3′).

A sense strand can have a 3′ extension and/or a 5′ extension. In some embodiments, a MUC5AC RNAi agent comprises a sense strand having a 5′ extension of 1, 2, 3, 4, 5, or 6 nucleotides in length. In some embodiments, one or more of the sense strand extension nucleotides comprise nucleotides that correspond to or are identical to nucleotides in the MUC5AC mRNA sequence.

Examples of sequences used in forming MUC5AC RNAi agents are provided in Tables 2, 3, 4, 5, 6, 7, and 11. In some embodiments, a MUC5AC RNAi agent antisense strand includes a sequence of any of the sequences in Tables 2, 3, or 11. In certain embodiments, a MUC5AC RNAi agent antisense strand comprises or consists of any one of the modified sequences in Table 3. In some embodiments, a MUC5AC RNAi agent antisense strand includes the sequence of nucleotides (from 5′ end→3′ end) 1-17, 2-17, 1-18, 2-18, 1-19, 2-19, 1-20, 2-20, 1-21, or 2-21, of any of the sequences in Table 2, Table 3, or Table 11. In some embodiments, a MUC5AC RNAi agent sense strand includes the sequence of any of the sequences in Tables 2, 4, 5, 6, or 7. In some embodiments, a MUC5AC RNAi agent sense strand includes the sequence of nucleotides (from 5′ end→3′ end) 1-18, 1-19, 1-20, 1-21, 2-19, 2-20, 2-21, 3-20, 3-21, or 4-21 of any of the sequences in Tables 2, 4, 5, 6, or 7. In certain embodiments, a MUC5AC RNAi agent sense strand comprises or consists of a modified sequence of any one of the modified sequences in Table 4, 5, 6, 7, or 11.

In some embodiments, the sense and antisense strands of the RNAi agents described herein contain the same number of nucleotides. In some embodiments, the sense and antisense strands of the RNAi agents described herein contain different numbers of nucleotides. In some embodiments, the sense strand 5′ end and the antisense strand 3′ end of an RNAi agent form a blunt end. In some embodiments, the sense strand 3′ end and the antisense strand 5′ end of an RNAi agent form a blunt end. In some embodiments, both ends of an RNAi agent form blunt ends. In some embodiments, neither end of an RNAi agent is blunt-ended. As used herein a “blunt end” refers to an end of a double stranded RNAi agent in which the terminal nucleotides of the two annealed strands are complementary (form a complementary base-pair).

In some embodiments, the sense strand 5′ end and the antisense strand 3′ end of an RNAi agent form a frayed end. In some embodiments, the sense strand 3′ end and the antisense strand 5′ end of an RNAi agent form a frayed end. In some embodiments, both ends of an RNAi agent form a frayed end. In some embodiments, neither end of an RNAi agent is a frayed end. As used herein a frayed end refers to an end of a double stranded RNAi agent in which the terminal nucleotides of the two annealed strands form a pair (i.e., do not form an overhang) but are not complementary (i.e. form a non-complementary pair). In some embodiments, one or more unpaired nucleotides at the end of one strand of a double stranded RNAi agent form an overhang. The unpaired nucleotides may be on the sense strand or the antisense strand, creating either 3′ or 5′ overhangs. In some embodiments, the RNAi agent contains: a blunt end and a frayed end, a blunt end and 5′ overhang end, a blunt end and a 3′ overhang end, a frayed end and a 5′ overhang end, a frayed end and a 3′ overhang end, two 5′ overhang ends, two 3′ overhang ends, a 5′ overhang end and a 3′ overhang end, two frayed ends, or two blunt ends. Typically, when present, overhangs are located at the 3′ terminal ends of the sense strand, the antisense strand, or both the sense strand and the antisense strand.

The MUC5AC RNAi agents disclosed herein may also be comprised of one or more modified nucleotides. In some embodiments, substantially all of the nucleotides of the sense strand and substantially all of the nucleotides of the antisense strand of the MUC5AC RNAi agent are modified nucleotides. The MUC5AC RNAi agents disclosed herein may further be comprised of one or more modified internucleoside linkages, e.g., one or more phosphorothioate linkages or phosphorodithioate linkages. In some embodiments, a MUC5AC RNAi agent contains one or more modified nucleotides and one or more modified internucleoside linkages. In some embodiments, a 2′-modified nucleotide is combined with modified internucleoside linkage.

In some embodiments, a MUC5AC RNAi agent is prepared or provided as a salt, mixed salt, or a free-acid. In some embodiments, a MUC5AC RNAi agent is prepared as a pharmaceutically acceptable salt. In some embodiments, a MUC5AC RNAi agent is prepared as a pharmaceutically acceptable sodium salt. Such forms that are well known in the art are within the scope of the inventions disclosed herein.

Modified Nucleotides

Modified nucleotides, when used in various oligonucleotide constructs, can preserve activity of the compound in cells while at the same time increasing the serum stability of these compounds, and can also minimize the possibility of activating interferon activity in humans upon administration of the oligonucleotide construct.

In some embodiments, a MUC5AC RNAi agent contains one or more modified nucleotides. As used herein, a “modified nucleotide” is a nucleotide other than a ribonucleotide (2′-hydroxyl nucleotide). In some embodiments, at least 50% (e.g., at least 60%, at least 70%, at least 80%, at least 90%, at least 95%, at least 97%, at least 98%, at least 99%, or 100%) of the nucleotides are modified nucleotides. As used herein, modified nucleotides can include, but are not limited to, deoxyribonucleotides, nucleotide mimics, abasic nucleotides, 2′-modified nucleotides, inverted nucleotides, modified nucleobase-comprising nucleotides, bridged nucleotides, peptide nucleic acids (PNAs), 2′,3′-seco nucleotide mimics (unlocked nucleobase analogues), locked nucleotides, 3′-O-methoxy (2′ internucleoside linked) nucleotides, 2′-F-Arabino nucleotides, 5′-Me, 2′-fluoro nucleotide, morpholino nucleotides, vinyl phosphonate deoxyribonucleotides, vinyl phosphonate containing nucleotides, and cyclopropyl phosphonate containing nucleotides. 2′-modified nucleotides (i.e., a nucleotide with a group other than a hydroxyl group at the 2′ position of the five-membered sugar ring) include, but are not limited to, 2′-O-methyl nucleotides (also referred to as 2′-methoxy nucleotides), 2′-fluoro nucleotides (also referred to herein as 2′-deoxy-2′-fluoro nucleotides), 2′-deoxy nucleotides, 2′-methoxyethyl (2′-O-2-methoxylethyl) nucleotides (also referred to as 2′-MOE), 2′-amino nucleotides, and 2′-alkyl nucleotides. It is not necessary for all positions in a given compound to be uniformly modified. Conversely, more than one modification can be incorporated in a single MUC5AC RNAi agent or even in a single nucleotide thereof. The MUC5AC RNAi agent sense strands and antisense strands can be synthesized and/or modified by methods known in the art. Modification at one nucleotide is independent of modification at another nucleotide.

Modified nucleobases include synthetic and natural nucleobases, such as 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and 0-6 substituted purines, (e.g., 2-aminopropyladenine, 5-propynyluracil, or 5-propynylcytosine), 5-methylcytosine (5-me-C), 5-hydroxymethyl cytosine, inosine, xanthine, hypoxanthine, 2-aminoadenine, 6-alkyl (e.g., 6-methyl, 6-ethyl, 6-isopropyl, or 6-n-butyl) derivatives of adenine and guanine, 2-alkyl (e.g., 2-methyl, 2-ethyl, 2-isopropyl, or 2-n-butyl) and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine, 2-thiocytosine, 5-halouracil, cytosine, 5-propynyl uracil, 5-propynyl cytosine, 6-azo uracil, 6-azo cytosine, 6-azo thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-sulfhydryl, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo (e.g., 5-bromo), 5-trifluoromethyl, and other 5-substituted uracils and cytosines, 7-methylguanine and 7-methyladenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine, 7-deazaadenine, 3-deazaguanine, and 3-deazaadenine.

In some embodiments, the 5′ and/or 3′ end of the antisense strand can include abasic residues (Ab), which can also be referred to as an “abasic site” or “abasic nucleotide.” An abasic residue (Ab) is a nucleotide or nucleoside that lacks a nucleobase at the 1′ position of the sugar moiety. (See. e.g., U.S. Pat. No. 5,998,203). In some embodiments, anabasic residue can be placed internally in a nucleotide sequence. In some embodiments, Ab or AbAb can be added to the 3′ end of the antisense strand. In some embodiments, the 5′ end of the sense strand can include one or more additional abasic residues (e.g., (Ab) or (AbAb)). In some embodiments, UUAb, UAb, or Ab are added to the 3′ end of the sense strand. In some embodiments, an abasic (deoxyribose) residue can be replaced with a ribitol (abasic ribose) residue.

In some embodiments, all or substantially all of the nucleotides of an RNAi agent are modified nucleotides. As used herein, an RNAi agent wherein substantially all of the nucleotides present are modified nucleotides is an RNAi agent having four or fewer (i.e., 0, 1, 2, 3, or 4) nucleotides in both the sense strand and the antisense strand being ribonucleotides (i.e., unmodified). As used herein, a sense strand wherein substantially all of the nucleotides present are modified nucleotides is a sense strand having two or fewer (i.e., 0, 1, or 2) nucleotides in the sense strand being unmodified ribonucleotides. As used herein, an antisense sense strand wherein substantially all of the nucleotides present are modified nucleotides is an antisense strand having two or fewer (i.e., 0, 1, or 2) nucleotides in the antisense strand being unmodified ribonucleotides. In some embodiments, one or more nucleotides of an RNAi agent is an unmodified ribonucleotide. Chemical structures for certain modified nucleotides are set forth in Table 12 herein.

Modified Internucleoside Linkages

In some embodiments, one or more nucleotides of a MUC5AC RNAi agent are linked by non-standard linkages or backbones (i.e., modified internucleoside linkages or modified backbones). Modified internucleoside linkages or backbones include, but are not limited to, phosphorothioate groups (represented herein as a lower case “s”), chiral phosphorothioates, thiophosphates, phosphorodithioates, phosphotriesters, aminoalkyl-phosphotriesters, alkyl phosphonates (e.g., methyl phosphonates or 3′-alkylene phosphonates), chiral phosphonates, phosphinates, phosphoramidates (e.g., 3′-amino phosphoramidate, aminoalkylphosphoramidates, or thionophosphoramidates), thionoalkyl-phosphonates, thionoalkylphosphotriesters, morpholino linkages, boranophosphates having normal 3′-5′ linkages, 2′-5′ linked analogs of boranophosphates, or boranophosphates having inverted polarity wherein the adjacent pairs of nucleoside units are linked 3′-5′ to 5′-3′ or 2′-5′ to 5′-2′. In some embodiments, a modified internucleoside linkage or backbone lacks a phosphorus atom. Modified internucleoside linkages lacking a phosphorus atom include, but are not limited to, short chain alkyl or cycloalkyl inter-sugar linkages, mixed heteroatom and alkyl or cycloalkyl inter-sugar linkages, or one or more short chain heteroatomic or heterocyclic inter-sugar linkages. In some embodiments, modified internucleoside backbones include, but are not limited to, siloxane backbones, sulfide backbones, sulfoxide backbones, sulfone backbones, formacetyl and thioformacetyl backbones, methylene formacetyl and thioformacetyl backbones, alkene-containing backbones, sulfamate backbones, methyleneimino and methylenehydrazino backbones, sulfonate and sulfonamide backbones, amide backbones, and other backbones having mixed N, O, S, and CH₂ components.

In some embodiments, a sense strand of a MUC5AC RNAi agent can contain 1, 2, 3, 4, 5, or 6 phosphorothioate linkages, an antisense strand of a MUC5AC RNAi agent can contain 1, 2, 3, 4, 5, or 6 phosphorothioate linkages, or both the sense strand and the antisense strand independently can contain 1, 2, 3, 4, 5, or 6 phosphorothioate linkages. In some embodiments, a sense strand of a MUC5AC RNAi agent can contain 1, 2, 3, or 4 phosphorothioate linkages, an antisense strand of a MUC5AC RNAi agent can contain 1, 2, 3, or 4 phosphorothioate linkages, or both the sense strand and the antisense strand independently can contain 1, 2, 3, or 4 phosphorothioate linkages.

In some embodiments, a MUC5AC RNAi agent sense strand contains at least two phosphorothioate internucleoside linkages. In some embodiments, the phosphorothioate internucleoside linkages are between the nucleotides at positions 1-3 from the 3′ end of the sense strand. In some embodiments, one phosphorothioate internucleoside linkage is at the 5′ end of the sense strand nucleotide sequence, and another phosphorothioate linkage is at the 3′ end of the sense strand nucleotide sequence. In some embodiments, two phosphorothioate internucleoside linkage are located at the 5′ end of the sense strand, and another phosphorothioate linkage is at the 3′ end of the sense strand. In some embodiments, the sense strand does not include any phosphorothioate internucleoside linkages between the nucleotides, but contains one, two, or three phosphorothioate linkages between the terminal nucleotides on both the 5′ and 3′ ends and the optionally present inverted abasic residue terminal caps. In some embodiments, the targeting ligand is linked to the sense strand via a phosphorothioate linkage.

In some embodiments, a MUC5AC RNAi agent antisense strand contains four phosphorothioate internucleoside linkages. In some embodiments, the four phosphorothioate internucleoside linkages are between the nucleotides at positions 1-3 from the 5′ end of the antisense strand and between the nucleotides at positions 19-21, 20-22, 21-23, 22-24, 23-25, or 24-26 from the 5′ end. In some embodiments, three phosphorothioate internucleoside linkages are located between positions 1-4 from the 5′ end of the antisense strand, and a fourth phosphorothioate internucleoside linkage is located between positions 20-21 from the 5′ end of the antisense strand. In some embodiments, a MUC5AC RNAi agent contains at least three or four phosphorothioate internucleoside linkages in the antisense strand.

Capping Residues or Moieties

In some embodiments, the sense strand may include one or more capping residues or moieties, sometimes referred to in the art as a “cap,” a “terminal cap,” or a “capping residue.” As used herein, a “capping residue” is a non-nucleotide compound or other moiety that can be incorporated at one or more termini of a nucleotide sequence of an RNAi agent disclosed herein. A capping residue can provide the RNAi agent, in some instances, with certain beneficial properties, such as, for example, protection against exonuclease degradation. In some embodiments, inverted abasic residues (invAb) (also referred to in the art as “inverted abasic sites”) are added as capping residues (see Table 12). (See, e.g., F. Czaudema, Nucleic Acids Res., 2003, 31(11), 2705-16). Capping residues are generally known in the art, and include, for example, inverted abasic residues as well as carbon chains such as a terminal C₃H₇ (propyl), C₆H₁₃ (hexyl), or C₁₂H₂₅ (dodecyl) groups. In some embodiments, a capping residue is present at either the 5′ terminal end, the 3′ terminal end, or both the 5′ and 3′ terminal ends of the sense strand. In some embodiments, the 5′ end and/or the 3′ end of the sense strand may include more than one inverted abasic deoxyribose moiety as a capping residue.

In some embodiments, one or more inverted abasic residues (invAb) are added to the 3′ end of the sense strand. In some embodiments, one or more inverted abasic residues (invAb) are added to the 5′ end of the sense strand. In some embodiments, one or more inverted abasic residues or inverted abasic sites are inserted between the targeting ligand and the nucleotide sequence of the sense strand of the RNAi agent. In some embodiments, the inclusion of one or more inverted abasic residues or inverted abasic sites at or near the terminal end or terminal ends of the sense strand of an RNAi agent allows for enhanced activity or other desired properties of an RNAi agent.

In some embodiments, one or more inverted abasic residues (invAb) are added to the 5′ end of the sense strand. In some embodiments, one or more inverted abasic residues can be inserted between the targeting ligand and the nucleotide sequence of the sense strand of the RNAi agent. The inverted abasic residues may be linked via phosphate, phosphorothioate (e.g., shown herein as (invAb)s)), or other internucleoside linkages. In some embodiments, the inclusion of one or more inverted abasic residues at or near the terminal end or terminal ends of the sense strand of an RNAi agent may allow for enhanced activity or other desired properties of an RNAi agent. In some embodiments, an inverted abasic (deoxyribose) residue can be replaced with an inverted ribitol (abasic ribose) residue. In some embodiments, the 3′ end of the antisense strand core stretch sequence, or the 3′ end of the antisense strand sequence, may include an inverted abasic residue. The chemical structures for inverted abasic deoxyribose residues are shown in Table 12 below.

MUC5AC RNAi Agents

The MUC5AC RNAi agents disclosed herein are designed to target specific positions on a MUC5AC gene (e.g., SEQ ID NO:1 (NM_001304359.2)). As defined herein, an antisense strand sequence is designed to target a MUC5AC gene at a given position on the gene when the 5′ terminal nucleobase of the antisense strand is aligned with a position that is 19 nucleotides downstream (towards the 3′ end) from the position on the gene when base pairing to the gene. For example, as illustrated in Tables 1 and 2 herein, an antisense strand sequence designed to target a MUC5AC gene at position 3535 requires that when base pairing to the gene, the 5′ terminal nucleobase of the antisense strand is aligned with position 3553 of a MUC5AC gene.

As provided herein, a MUC5AC RNAi agent does not require that the nucleobase at position 1 (5′→3′) of the antisense strand be complementary to the gene, provided that there is at least 85% complementarity (e.g., at least 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% complementarity) of the antisense strand and the gene across a core stretch sequence of at least 16 consecutive nucleotides. For example, for a MUC5AC RNAi agent disclosed herein that is designed to target position 3535 of a MUC5AC gene, the 5′ terminal nucleobase of the antisense strand of the of the MUC5AC RNAi agent must be aligned with position 3553 of the gene; however, the 5′ terminal nucleobase of the antisense strand may be, but is not required to be, complementary to position 3553 of a MUC5AC gene, provided that there is at least 85% complementarity (e.g., at least 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, or 100% complementarity) of the antisense strand and the gene across a core stretch sequence of at least 16 consecutive nucleotides. As shown by, among other things, the various examples disclosed herein, the specific site of binding of the gene by the antisense strand of the MUC5AC RNAi agent (e.g., whether the MUC5AC RNAi agent is designed to target a MUC5AC gene at position 3535, at position 4993, at position 15051, or at some other position) is an important factor to the level of inhibition achieved by the MUC5AC RNAi agent. (See also, Kamiola et al., The siRNA Non-seed Region and Its Target Sequences are Auxiliary Determinants of Off-Target Effects. PLOS Computational Biology, 11(12), FIG. 1 (2015)).

In some embodiments, the MUC5AC RNAi agents disclosed herein target a MUC5AC gene at or near the positions of the MUC5AC sequence shown in Table 1. In some embodiments, the antisense strand of a MUC5AC RNAi agent disclosed herein includes a core stretch sequence that is fully, substantially, or at least partially complementary to a target MUC5AC 19-mer sequence disclosed in Table 1.

TABLE 1 MUC5AC 19-mer mRNA Target Sequences (taken from homo sapiens mucin 5AC, oligomeric mucus/gel-forming (MUC5AC) gene transcript, GenBank NM_001304359.2 (SEQ ID NO: 1)) Corresponding Targeted Gene SEQ MUC5AC 19-mer Positions of Position (as ID Target Sequences Sequence on referred to No. (5′ → 3′) SEQ ID NO: 1 herein)  2 GCUUCCACUACAAGACCUU 304-322   304  3 UGUGGAACCACGAUGACAG 610-628   610  4 GCAAGACCUCUGCUUCUGU 923-941   923  5 CACAGACUGCACCAACUGC 1277-1295  1277  6 CAGUGCCUUCACUGUACUG 1445-1463  1445  7 AGUGCCUUCACUGUACUGC 1446-1464  1446  8 CAGCGAGACCUGCCUGAAG 1493-1511  1493  9 GGGAAGUGUUCCUGAACCA 1567-1585  1567 10 AACGUCACCAUCUUCAGAC 1617-1635  1617 11 ACGUCACCAUCUUCAGACC 1618-1636  1618 12 UGUGGGAACUUCAACAGCA 1758-1776  1758 13 GGGAACUUCAACAGCAUCC 1761-1779  1761 14 UCCAGGCCGAUGACUUCCG 1777-1795  1777 15 CUUCUUCAACACCUUCAAG 1832-1850  1832 16 UUCAACACCUUCAAGACCC 1836-1854  1836 17 CCAACAUCAGGAACAGCUU 1867-1885  1867 18 CAUCAGGAACAGCUUCGAG 1871-1889  1871 19 AGUAUGCUCAGCACUGGUG 1921-1939  1921 20 ACCUACUACUCGAACUGCA 2001-2019  2001 21 UACUACUCGAACUGCAUGU 2004-2022  2004 22 ACAUCACCUGCAGUGUUGG 2230-2248  2230 23 CACCUGCAGUGUUGGCUUC 2234-2252  2234 24 UGGACAUGACCUGUUACAG 2536-2554  2536 25 AGAGCUACAGCUUCAACGG 2797-2815  2797 26 AGGGACCACCUGCUCCAAG 2915-2933  2915 27 CUGCUCCAAGGCCAUCAAG 2924-2942  2924 28 UGCUCCAAGGCCAUCAAGA 2925-2943  2925 29 CUCCAAGGCCAUCAAGAUU 2927-2945  2927 30 GACAAGAAGACCAGCAUCU 3090-3108  3090 31 AGACCAGCAUCUUCAUCAA 3097-3115  3097 32 ACCAGCAUCUUCAUCAACC 3099-3117  3099 33 CCUCAGCCCCGAGUUCAAG 3116-3134  3116 34 UGGGAACUUCGACGACAUC 3155-3173  3155 35 CAGAAGCAGUGCAGCAUCC 3321-3339  3321 36 CAGGCCUGCCAUGAAGUUU 3475-3493  3475 37 CCCUCUGUUCUGCGACUAC 3530-3548  3530 38 CCUCUGUUCUGCGACUACU 3531-3549  3531 39 UCUGUUCUGCGACUACUAC 3533-3551  3533 40 CUGUUCUGCGACUACUACA 3534-3552  3534 41 UGUUCUGCGACUACUACAA 3535-3553  3535 42 UCUUUGAUGAGGACAAGAU 3694-3712  3694 43 CUUUGAUGAGGACAAGAUG 3695-3713  3695 44 UUUGAUGAGGACAAGAUGC 3696-3714  3696 45 ACGUCAUCUACCACACGAC 3910-3928  3910 46 UGCUACAACUACCAGAUCA 4443-4461  4443 47 UACAACUACCAGAUCAGGG 4446-4464  4446 48 CUGAUUUGCCUGAACAAGA 4992-5010  4992 49 UGAUUUGCCUGAACAAGAA 4993-5011  4993 50 CACCCAUCUGCUACAACUA 5020-5038  5020 51 ACCCAUCUGCUACAACUAU 5021-5039  5021 52 UGCUACAACUAUGAGAUCC 5028-5046  5028 53 GCUACAACUAUGAGAUCCG 5029-5047  5029 54 GAUCCGCAUCCAGUGUUGC 5042-5060  5042 55 AAAGUGGUUCGACGUGGAC 5297-5315  5297 56 GUGGUUCGACGUGGACUUC 5300-5318  5300 57 GGUUCGACGUGGACUUCCC 5302-5320  5302 58 AAGGAAACCUACAACAACA 5346-5364  5346 59 AGGAAACCUACAACAACAU 5347-5365  5347 60 AAACCUACAACAACAUCAU 5350-5368  5350 61 AGAGGUGAGCAUCGAACAC 5441-5459  5441 62 GCAGGGACCCUUCAAGAUG 5519-5537  5519 63 AGAUGUGCCUCAACUACGA 5533-5551  5533 64 AUGUGCCUCAACUACGAGG 5535-5553  5535 65 ACCUCCUCUUGGCAGAAAU 6777-6795  6777 66 AGGACAACCACUUUGGUGA 6798-6816  6798 67 CUCUGCUCCUACAACUAGC 6998-7016  6998 68 ACCUCUGCUUCUACAACUA 7980-7998  7980 69 AUAACCAGCACAACUUCUG 8448-8466  8448 70 ACCAGAACAACCUCUGCUC 8739-8757  8739 71 CUACAACCAGCACAAUCUC 9310-9328  9310 72 UGGACCAAGUGGUUUGACA 9729-9747  9729 73 ACAACCAGCACAACUUCUG 10206-10224 10206 74 CAACCACUUUGGUGACAAG 11014-11032 11014 75 ACAACCAACACAACUUCUG 11361-11379 11361 76 CUCUGCUCCUACAACUAGC 12965-12983 12965 77 GAGAUCAUCUUCAACAACA 15051-15069 15051 78 AGAUCAUCUUCAACAACAA 15052-15070 15052

Homo sapiens mucin 5AC, oligomeric mucus/gel-forming (MUC5AC) gene transcript, GenBank NM_001304359.2 (SEQ ID NO: 1) (17,448 bases):

    1 ctcagaggct gctgagggac agggcactct tccccgccgt ccacacaatg agtgttggcc    61 ggaggaagct ggccctgctc tgggccctgg ctctcgctct ggcctgcacc cggcatacag   121 gccatgccca ggatggctcc tccgaatcca gctacaagca ccaccctgcc ctctctccta   181 tcgcccgggg gcccagcggg gtcccgctcc gtggggcgac tgtcttccca tctctgagga   241 ccatccctgt ggtacgagcc tccaacccgg cgcacaacgg gcgggtgtgc agcacctggg   301 gcagcttcca ctacaagacc ttcgacggcg acgtcttccg cttccccggc ctctgcaact   361 acgtgttctc cgagcactgc ggtgccgcct acgaggattt taacatccag ctacgccgca   421 gccaggagtc agcggccccc acgctgagca gggtcctcat gaaggtggat ggcgtggtca   481 tccagctgac caagggctcc gtcctggtca acggccaccc ggtcctgctg cccttcagcc   541 agtctggggt cctcattcag cagagcagca gctacaccaa ggtggaggcc aggctgggcc   601 ttgtcctcat gtggaaccac gatgacagcc tgctgctgga gctggacacc aaatacgcca   661 acaagacctg tgggctctgt ggggacttca acgggatgcc cgtggtcagc gagctcctct   721 cccacaacac caagctgaca cccatggaat tcgggaacct gcagaagatg gacgacccca   781 cggaccagtg tcaggaccct gtccctgaac ccccgaggaa ctgctccact ggctttggca   841 tctgtgagga gctcctgcac ggccagctgt tctctggctg cgtggccctg gtggacgtcg   901 gcagctacct ggaggcttgc aggcaagacc tctgcttctg tgaagacacc gacctgctca   961 gctgcgtctg ccacaccctt gccgagtact cccggcagtg cacccatgca ggggggttgc  1021 cccaggactg gcggggccct gacttctgcc cccagaagtg ccccaacaac atgcagtacc  1081 acgagtgccg ctccccctgc gcagacacct gctccaacca ggagcactcc cgggcctgtg  1141 aggaccactg tgtggccggc tgcttctgcc ctgaggggac ggtgcttgac gacatcggcc  1201 agaccggctg tgtccctgtg tcaaagtgtg cctgcgtcta caacggggct gcctatgccc  1261 caggggccac ctactccaca gactgcacca actgcacctg ctccggaggc cggtggagct  1321 gccaggaggt tccatgcccg ggtacctgct ctgtgcttgg aggtgcccac ttctcaacgt  1381 ttgacgggaa gcaatacacg gtgcacggcg actgcagcta tgtgctgacc aagccctgtg  1441 acagcagtgc cttcactgta ctggctgagc tgcgcaggtg cgggctgacg gacagcgaga  1501 cctgcctgaa gagcgtgaca ctgagcctgg atggggcgca gacggtggtg gtgatcaagg  1561 ccagtgggga agtgttcctg aaccagatct acacccagct gcccatctct gcagccaacg  1621 tcaccatctt cagaccctca accttcttca tcatcgccca gaccagcctg ggcctgcagc  1681 tgaacctgca gctggtgccc accatgcagc tgttcatgca gctggcgccc aagctccgtg  1741 ggcagacctg cggtctctgt gggaacttca acagcatcca ggccgatgac ttccggaccc  1801 tcagtggggt ggtggaggcc accgctgcgg ccttcttcaa caccttcaag acccaggccg  1861 cctgccccaa catcaggaac agcttcgagg acccctgctc tctgagcgtg gagaatgaga  1921 agtatgctca gcactggtgc tcgcagctga ccgatgccga cggccccttc ggccggtgcc  1981 atgctgccgt gaagccggga acctactact cgaactgcat gtttgacacc tgcaactgtg  2041 agcggagcga ggactgcctg tgcgccgcgc tgtcctccta cgtgcacgcc tgtgccgcca  2101 agggcgtgca gctcggcggc tggagggacg gcgtctgcac gaagcctatg accacttgcc  2161 ccaagtcaat gacgtaccac taccatgtca gcacctgcca gcccacctgc cgctccctga  2221 gcgaggggga catcacctgc agtgttggct tcatccccgt ggatggctgc atctgtccca  2281 agggcacctt cctggacgac acgggcaagt gtgtgcaggc cagcaactgt ccctgctacc  2341 acagaggctc catgatcccc aatggggagt cggtgcacga cagcggggct atctgcacct  2401 gcacacatgg gaagctgagc tgcatcggag gccaagcccc cgccccagtg tgtgctgcgc  2461 ccatggtgtt ctttgactgc cgaaatgcca cgcccgggga cacaggggct ggctgtcaga  2521 agagctgcca cacactggac atgacctgtt acagccccca gtgtgtgcct ggctgcgtgt  2581 gccccgacgg gctggtggcg gacggcgagg gcggctgcat cactgcggag gactgcccct  2641 gcgtgcacaa tgaggccagc taccgggccg gccagaccat ccgggtgggc tgcaacacct  2701 gcacctgtga cagcaggatg tggcggtgca cagatgaccc ctgcctggcc acctgcgccg  2761 tgtacgggga cggccactac ctcaccttcg acggacagag ctacagcttc aacggagact  2821 gcgagtacac gctggtgcag aaccactgtg gcgggaaaga cagcacccag gactcctttc  2881 gtgttgtcac cgagaacgtc ccctgcggca ccacagggac cacctgctcc aaggccatca  2941 agattttcct ggggggcttc gagctgaagc taagccatgg gaaggtggag gtgatcggga  3001 cggacgagag ccaggaggtg ccatacacca tccggcagat gggcatctac ctggtggtgg  3061 acaccgacat tggcctggtg ctgctgtggg acaagaagac cagcatcttc atcaacctca  3121 gccccgagtt caagggcagg gtctgcggcc tgtgtgggaa cttcgacgac atcgccgtta  3181 atgactttgc cacgcggagc cggtctgtgg tgggggacgt gctggagttt gggaacagct  3241 ggaagctctc cccctcctgc ccagatgccc tggcgcccaa ggacccctgc acggccaacc  3301 ccttccgcaa gtcctgggcc cagaagcagt gcagcatcct ccacggcccc accttcgccg  3361 cctgccacgc acacgtggag ccggccaggt actacgaggc ctgcgtgaac gacgcgtgcg  3421 cctgcgactc cgggggtgac tgcgagtgct tctgcacggc tgtggccgcc tacgcccagg  3481 cctgccatga agtaggcctg tgtgtgtcct ggcggacccc gagcatctgc cctctgttct  3541 gcgactacta caaccccgaa ggccagtgcg agtggcacta ccagccctgc ggggtgccct  3601 gcctgcgcac ctgccggaac ccccgtggag actgcctgcg ggacgtccgg ggcctggaag  3661 gctgctaccc caagtgccca ccagaggctc ccatctttga tgaggacaag atgcagtgtg  3721 tggccacctg cccaaccccg cctctgccac cacggtgcca cgtccatggg aagtcctacc  3781 ggccaggtgc agtggtgccc tcggacaaga actgccagtc ctgcctttgt acggagcgcg  3841 gcgtggagtg cacctacaaa gctgaggcct gtgtctgcac ctacaatgga cagcgcttcc  3901 acccagggga cgtcatctac cacacgacgg atggcacggg tggctgcatc tccgcccgct  3961 gcggggccaa cggcaccatt gagaggaggg tctacccctg cagccccacc acccctgtcc  4021 ccccaaccac cttctccttc tccacacccc cgcttgtcgt gagctccacg cacaccccca  4081 gcaatggccc aagcagcgcg cacacaggcc ctccgagcag cgcctggccc accacagcag  4141 gcacttctcc caggacgagg ctgcccacag cctctgcctc actgccgccg gtctgtgggg  4201 aaaagtgcct gtggtcgcca tggatggatg tcagccgccc tggacggggc acggacagcg  4261 gtgacttcga cacactggag aacctccgcg cccatgggta ccgggtgtgc gaatcaccca  4321 ggtcggtgga gtgccgagct gaggacgccc ccggagtgcc gctccgagcc ctggggcagc  4381 gtgtgcagtg cagcccggat gtggggctga cctgtcgtaa cagggagcag gcatcggggc  4441 tctgctacaa ctaccagatc agggtccagt gctgcacgcc cctaccctgc tccacctcta  4501 gcagtccagc ccagaccact cctccaacta cctccaagac cactgaaacc cgggcctcag  4561 gctcctcagc tcccagcagc acacctggca ccgtgtctct ctctacagcc aggacgacac  4621 ctgccccagg taccgctacc tctgtcaaaa aaactttctc aactcccagc cctccgccag  4681 tgccggcaac atcaacatca tccatgtcga ccacggcccc ggggacctct gtggtctcca  4741 gcaagcccac ccccacggag cccagcacat cctcctgcct gcaggagctt tgcacctgga  4801 ccgagtggat cgatggcagc taccctgctc ctggaataaa tggtggagat tttgacacat  4861 ttcaaaattt gagagacgaa ggatacacat tctgtgaaag tcctcgaagc gtgcagtgcc  4921 gggcagagag cttccccaac acgccgctgg cagacctggg gcaggacgtc atctgcagcc  4981 acacagaggg gctgatttgc ctgaacaaga accagctccc acccatctgc tacaactatg  5041 agatccgcat ccagtgttgc gagacggtga acgtgtgcag agacatcacc agactgccaa  5101 agaccgtcgc aacgacacgg ccgactccac atccaaccgg agctcagacc cagaccacct  5161 tcaccacaca catgccctcg gcctccacag agcaacccac ggcaacctcc aggggtgggc  5221 ccacagcaac cagcgtcaca cagggcaccc acaccacact agtcaccaga aactgtcatc  5281 cccggtgcac ctggacaaag tggttcgacg tggacttccc gtcccccgga ccccatggtg  5341 gagacaagga aacctacaac aacatcatca ggagtgggga aaaaatctgc cgccgacctg  5401 aggagatcac caggctccag tgccgagcca agagccaccc agaggtgagc atcgaacacc  5461 tgggccaggt ggtgcagtgc agccgggaag agggcctggt gtgccggaac caggaccagc  5521 agggaccctt caagatgtgc ctcaactacg aggtgcgtgt gctctgctgc gagaccccca  5581 gaggctgcca catgacctcc acacctggct ccacctctag cagtccagcc cagaccactc  5641 cttcaacaac ctccaagacc actgaaaccc aggcctcagg ctcctcagcc cccagcagca  5701 cacctggcac cgtgtctctc tctacagcca ggacgacacc tgccccaggt accgctacct  5761 ctgtcaaaaa aactttctca actcccagcc ctccgccagt gccggcaaca tcaacatcat  5821 ccatgtcgac cacggccccg gggacctctg tggtctccag caagcccacc cccacggagc  5881 ccagcacatc ctcctgcctg caggagcttt gcacctggac cgagtggatt gatggcagct  5941 accctgctcc tggaataaat ggtggagatt ttgacacatt tcaaaatttg agagacgaag  6001 gatacacatt ctgtgaaagt cctcgaagcg tgcagtgccg ggcagagagc ttccccaaca  6061 cgccgctggc agacctgggg caggacgtca tctgcagcca cacagagggg ctgatttgcc  6121 tgaacaagaa ccagctccca cccatctgct acaactatga gatccgcatc cagtgttgcg  6181 agacggtgaa cgtgtgcaga gacatcacca gaccgccaaa gaccgtcgca acgacacggc  6241 cgactccaca tccaaccgga gctcagaccc agaccacctt caccacacac atgccctcgg  6301 cctccacaga gcaacccacg gcaacctcca ggggtgggcc cacagcaacc agcgtcacac  6361 agggcaccca caccacacca gtcaccagaa actgtcatcc ccggtgcacc tggacaacgt  6421 ggttcgacgt ggacttcccg tcccccggac cccatggtgg agacaaggaa acctacaaca  6481 acatcatcag gagtggggaa aaaatctgcc gccgacctga ggagatcacc aggctccagt  6541 gccgagccaa gagccaccca gaggtgagca tcgaacacct gggccaggtg gtgcagtgca  6601 gccgggaaga gggcctggtg tgccggaacc aggaccagca gggacccttc aagatgtgcc  6661 tcaactacga ggtgcgtgtg ctctgctgcg agacccccaa aggctgcccc gtgacctcca  6721 cacctgtgac agctcctagc acccctagtg ggagagccac cagcccaact cagagcacct  6781 cctcttggca gaaatccagg acaaccactt tggtgacaac cagcacaacc tccactccac  6841 agaccagtac aacctatgcc catacaacca gcacaacctc tgctcctaca gccagaacaa  6901 cctctgctcc tacaaccaga acaacctctg cctctccagc cagcacaacc tctggtcctg  6961 gaaatactcc cagccctgtt cctaccacca gcacaatctc tgctcctaca actagcataa  7021 cctctgcccc tacaaccagc acaacctctg cccctacaag cagcacaacc tctggtcctg  7081 gaactactcc cagccctgtt cctaccacca gcataacctc tgcccctaca accagcacaa  7141 cctctgctcc tacaaccagc acaacctctg cccgtacaag cagcacaacc tctgccacta  7201 ccaccagcag aatctctggt cctgaaacta ctcccagccc tgttcctacc accagcacaa  7261 cctctgccac tacaaccagc acaacctcag ctcctacaac cagcacaacc tctgccccta  7321 caagcagcac aacctccagt ccacagacca gcacaacctc ggctcctaca accagcacaa  7381 cttctggtcc tggaactacc ccaagccctg ttcccacgac cagcacaacc tctgccccta  7441 caacaagaac aacttctgct cctaaaagca gcacaacctc tgccgctaca accagcacaa  7501 cctctggtcc tgaaactact cctagacctg ttcctaccac cagcacaacc tcttctccta  7561 caaccagcac aacctctgct cctacaacca gcacaacctc tgcttctaca accagcacaa  7621 cctctggtgc tggaactact cccagccctg ttcccaccac cagcacaacc tctgctccta  7681 caaccagcac aacctctgcc cctataagca gcacaacctc tgccactaca accagcacaa  7741 cctctggtcc tggaactact cccagccctg ttcctaccac gagcacaacc tctgctccta  7801 caaccagcac aacctctggt cctggaacta ctcccagtgc tgttcccacc accagcataa  7861 cctctgcacc tacaaccagc acaaactctg cccctataag cagcacaacc tctgccacta  7921 caaccagcag aatctctggt cctgaaacta ctcccagccc tgttcctacc gccagcacaa  7981 cctctgcttc tacaactagc acaacctctg gtcctggaac tactcccagc cctgttccta  8041 ccaccagcac aatctctgtt cctaccacca gcacaacttc tgcttctaca accagcacaa  8101 cctctgcttc tacaaccagc acaacctctg gtcctggaac tactcccagc cctgttccca  8161 ccaccagcac aacctctgct cccacaacaa gcacaacctc tgcccctaca accagcacaa  8221 tctcggcccc aacaaccagc acaacctctg ccactacaac cagcacgacc tctgctccta  8281 cacccagaag aacctcagcc cctacaacca gcacaatctc tgcctctacc accagcacaa  8341 cctctgcgac tacaaccagc acaacctctg ctactacaac cagcacaatc tctgccccta  8401 caaccagcac aactttgtct cctacaacca gcacaacctc tactactata accagcacaa  8461 cttctgcccc tataagcagc acaacttcca caccacagac cagcacaact tcggctccta  8521 caaccagcac aacttctggt cctggaacta cttcaagccc tgttcccacc accagcacaa  8581 cctctgcccc tacaaccagc acaacctctg cccctacaac cagaacaacc tctgtcccta  8641 caagcagcac aacctccact gctacaacca gcacaacctc tggccctgga actactccca  8701 gccctgttcc caccaccagt acaacctctg ctcctacaac cagaacaacc tctgctccta  8761 caaccagcac aacctctgcc cctacaacca gcacaacctc tgcccctaca agcagcacaa  8821 cctcagctac tacaaccagc acaatctctg ttcctacaac cagcacaact tctgttcctg  8881 gaactactcc cagccctgtt cctaccacca gcacaatctc tgttcctacc accagcacaa  8941 cttctgcttc tacaaccagc acaacctctg gtcctggaac tactcccagc cctgttccca  9001 ccaccagcac aacctctgct cccacaacaa gcacaacctc tgcccctaca accagcacaa  9061 tctcggcccc aacaaccagc acaccctctg cccctacaac cagcacaacc ttagctccta  9121 caaccagcac aacctctgcc cctacaacca gcacaacctc tacccctaca agcagcacaa  9181 cctcctctcc acagaccagc acaacctcgg cttctaccac cagcataact tctggtcctg  9241 gaactacccc aagccctgtt cccaccacca gcacaacctc tgctcctaca accagcacaa  9301 cctctgccgc tacaaccagc acaatctcgg ccccaacaac cagcacaacg tctgctccta  9361 caaccagcac aacctctgcc tctacagcca gcaaaacctc tggtcttgga actactccca  9421 gccctattcc taccaccagc acaacctctc ctcctacaac cagcacaact tctgcctcta  9481 cagccagcaa aacctctggt cctggaacca ctcccagccc tgttcccacc accagcacaa  9541 tctttgctcc tagaaccagc accacttctg cctctacaac cagcacaacc cctggtcctg  9601 gaaccactcc cagccccgtt cccaccacca gcacagcctc tgtttcaaag accagcacaa  9661 gccatgtttc catatccaag acaacccact cccaaccagt caccagagac tgtcatctcc  9721 ggtgcacctg gaccaagtgg tttgacatag acttcccatc ccctggaccc cacggcgggg  9781 acaaggaaac ctacaacaac atcatcagga gtggggaaaa aatctgccgc cgacctgagg  9841 agatcaccag gctccagtgc cgagccgaga gccacccgga ggtgagcatt gaacacctgg  9901 gccaggtggt gcagtgcagc cgtgaagagg gcctggtgtg ccggaaccag gaccagcagg  9961 gacccttcaa gatgtgcctc aactacgagg tgcgtgtgct ctgctgcgag acccctaaag 10021 gttgccccgt gacctccaca cctgtgacag ctcctagcac ccctagtggg agagccacca 10081 gcccaactca gagcacttcc tcttggcaga aatccaggac aaccactttg gtgacaacca 10141 gcacaacctc cactccacag accagcacaa cctctgctcc tacaaccagc acaacctctg 10201 ctcccacaac cagcacaact tctgccccta caaccagcac aacctccact ccacagacca 10261 gcatatcctc tgcccctaca agcagcacaa cctcggctcc tacaagcagc acaatctctg 10321 ctcgtacaac cagcataatc tctgccccta caaccagcac aacctcttcc cctacaacca 10381 gcacaacctc tgctactaca accagcacaa cctctgcccc tacaagcagc acaacctcca 10441 ctccacagac cagcaaaacc tcagctgcta caagcagcac aacctccggt tctggaacta 10501 ctcccagccc tgttaccacc accagcacag cctctgtttc aaagaccagc acaagccatg 10561 tttctgtatc caagacaacc cactcccaac cagtcaccag agactgtcat ccccggtgca 10621 cctggaccaa atggtttgat gtggactttc catcccctgg accccacggt ggggacaagg 10681 aaacctacaa caacatcatc aggagtgggg aaaaaatctg ccgccgacct gaggagatca 10741 ccaggctcca gtgccgagcc aagagccacc cggaggtgag catcgaacac ctgggccagg 10801 tggtgcagtg cagccgcgaa gagggcctgg tgtgccggaa ccaggaccag cagggaccct 10861 tcaagatgtg cctcaactac gaggtgcgtg tgctttgctg cgagaccccc aaaggctgcc 10921 ccgtgacctc cacatctgtg acagctccta gcacccctag tgggagagcc accagcccaa 10981 ctcagagcac ctcctcttgg cagaaatcca ggacaaccac tttggtgaca agcagcataa 11041 cctccactac acagaccagc acaacctctg cccctacaac tagcacaacc cctgcttcta 11101 tacccagcac aacctctgcc ccaacaacca gcacaacctc tgctcccaca acgagcacaa 11161 cttctgcccc tacaaccagc acaacctcca ctccacagac caccacatcc tctgccccta 11221 caagcagcac aacctcggct cctaccacca gcacaatctc tgcccctaca accagcacaa 11281 tctctgcccc tacaaccagc acaacctctg ctcccacagc cagcacaacg tcagctccta 11341 cgagcacttc ctcggctcct acaaccaaca caacctctgc ccctacaact agcactacct 11401 ctgctcccat aaccagcaca atctctgccc ctacaaccag cacaacctcc actccacaga 11461 ccagcacaat ctcttcccct acaaccagca caacctccac tccgcagacc agcacaacct 11521 cttcccctac aactagcaca acctcagctc ctacaaccag cacaacttct gcccctacaa 11581 ccagcacaac ctccactcca cagaccagca tatcctctgc ccctacaagc agcacaacct 11641 ctgctcctac agccagcaca atctctgccc ctacaaccag cacaacctct ttccatacaa 11701 ccagcacaac ctctccccct acaagcagca caagctccac tccacagacc agcaaaacct 11761 cagctgctac aagcagcaca acctccggtt ctggaactac tcccagcccc gttcccacca 11821 ccagcacagc ctctgtttca aagaccagca caagccatgt ttctgtatcc aagacaaccc 11881 actcccaacc agtcaccaga gactgtcatc cccggtgcac ctggaccaag tggtttgacg 11941 tggactttcc atcccctgga ccccacggtg gggacaagga aacctacaac aacatcatca 12001 ggagtgggga aaaaatctgc cgccgacctg aggagatcac caggctccag tgccgagccg 12061 agagccaccc ggaggtgagc atcgaacacc tgggccaggt ggtgcagtgc agccgggaag 12121 agggcctggt gtgccggaac caggaccagc agggaccctt caagatgtgc ctcaactacg 12181 aggtgcgtgt gctctgctgc gagaccccca aaggctgccc cgtgacctcc acacctgtga 12241 cagctcctag cacccctagt gggagagcca ccagcccaac tcagagcact tcctcttggc 12301 agaaatccag gacaaccact ttggtgacaa ccagcacaac ctccactcca cagaccagca 12361 caacctctgc ccctacaacc agcacaatcc ctgcttctac acccagcaca acctctgccc 12421 ctacaaccag cacaacctct gcccctacaa ccagcacgac ctcagctcct acacacagaa 12481 cgacttctgg tcctacaacc agcacaacct tggctcctac aaccagcaca acctctgctc 12541 caacaaccag cacaaactct gctcctacaa ccagcacaat ctctgcctct acaaccagca 12601 caatctctgc ccctacaacc agcacaatct cttcccctac aagcagcaca acctccactc 12661 cacagaccag caaaacctca gctgctacaa gcagcacaac ctccggttct ggaactactc 12721 caagccctgt tcccaccacc agcacaacct ctgcctctac aaccagcaca acttctgctc 12781 ctacaaccag cacaacctct ggtcctggaa ctactccaag ccctgttccc agcaccagta 12841 caacctctgc tgctacaacc agcacaacct ctgctcctac aaccagaaca acatctgctc 12901 ctacaagcag catgacctct ggtcctggaa ctactcccag ccctgttccc accaccagca 12961 caacctctgc tcctacaact agcacaacct ctggtcctgg aactactccc agccctgttc 13021 ccaccaccag cacaacctct gctcctataa ccagcacaac ctctggtcct ggaagtactc 13081 ccagccctgt tcccaccacc agcacaacct ctgctcctac aaccagcaca acctctgcct 13141 ctacagccag cacaacctct ggtcctggaa ctactcccag ccctgttccc accaccagca 13201 caacctctgc tcctacaacc agaacaacct ctgcctctac agccagcaca acctctggtc 13261 ctggaagtac tcccagccct gttcccacca ccagcacaac ctctgctcct acaaccagaa 13321 caacccctgc ctctacagcc agcacaacct ctggtcctgg aactactccc agccctgttc 13381 ccaccacaag cacaacctct gcttctacaa ccagcacaat ctctctccct acaaccagca 13441 caacctctgc tcctataacc agcatgacct ctggtcctgg aactactccc agccctgttc 13501 ccaccaccag cacaacctct gctcctacaa ccagcacaac ctctgcctct acagccagca 13561 caacctctgg tcctggaact actcccagcc ctgttcccac caccagcaca acctctgctc 13621 ctacaaccag cacaacctct gcctctacag ccagcacaac ctctggtcct ggaacttctc 13681 tcagccctgt tcccaccacg agcacaacct ctgctcctac aactagcaca acctctggtc 13741 ctggaactac tcccagccct gttcccacca ccagcacaac ctctgctcct acaaccagca 13801 cgacctctgg tcctggaact actcccagcc ccgttcccac caccagcaca acccctgttt 13861 caaagaccag cacaagccat ctttctgtat ccaagacaac ccactcccaa ccagtcacca 13921 gtgactgtca tcctctgtgc gcctggacaa agtggttcga cgtggacttc ccatcccctg 13981 gaccccacgg cggggacaag gaaacctaca acaacatcat caggagtggg gaaaaaatct 14041 gccgccgacc tgaggagatc accaggctcc agtgccgagc cgagagccac ccggaggtga 14101 acattgaaca cctgggtcag gtggtgcagt gcagccgtga agagggcctg gtgtgccgga 14161 accaggacca gcagggaccc ttcaagatgt gcctcaacta cgaggtgcgc gtgctctgct 14221 gcgagacccc cagaggctgc ccggtgacct ctgtgacccc atatgggact tctcctacca 14281 atgctctgta tccttccctg tctacttcca tggtatccgc ctccgtggca tccacctctg 14341 tggcatccag ctctgtggca tccagctctg tggcttactc cacccaaacc tgcttctgca 14401 acgtggctga ccggctctac cctgcaggat ccaccatata ccgccacaga gacctcgctg 14461 gccattgcta ttatgccctg tgtagccagg actgccaagt ggtcagaggg gttgacagtg 14521 actgtccgtc caccacgctg cctcctgccc cagccacgtc cccttcaata tccacctccg 14581 agcccgtcac tgagctggga tgcccaaatg cggttccccc cagaaagaaa ggtgagacct 14641 gggccacacc caactgctcc gaggccacct gtgagggcaa caacgtcatc tccctgcgcc 14701 cgcgcacgtg cccgagggtg gagaagccca cttgtgccaa cggctacccg gctgtgaagg 14761 tggctgacca agatggctgc tgccatcact accagtgcca gtgtgtgtgc agcggctggg 14821 gtgaccccca ctacatcacc ttcgacggca cctactacac cttcctggac aactgcacgt 14881 acgtgctggt gcagcagatt gtgcccgtgt atggccactt ccgcgtgctc gtcgacaact 14941 acttctgcgg tgcggaggac gggctctcct gcccgaggtc catcatcctg gagtaccacc 15001 aggaccgcgt ggtgctgacc cgcaagccag tccacggggt gatgacaaac gagatcatct 15061 tcaacaacaa ggtggtcagc cccggcttcc ggaaaaacgg catcgtggtc tcgcgcatcg 15121 gcgtcaagat gtacgcgacc atcccggagc tgggagtcca ggtcatgttc tccggcctca 15181 tcttctccgt ggaggtgccc ttcagcaagt ttgccaacaa caccgagggc cagtgcggca 15241 cttgcaccaa cgacaggaag gatgagtgcc gcacgcctag ggggacggtg gtcgcttcct 15301 gctccgagat gtccggcctc tggaacgtga gcatacccga ccagccagcc tgccaccggc 15361 ctcacccgac gcccaccacg gtcgggccca ccacagttgg gtctaccacg gtcgggccca 15421 ccacagttgg gtctaccacg gtcgggccca ccacaccgcc tgctccgtgc ctgccatcac 15481 ccatctgcca gctgattctg agcaaggtct ttgagccgtg ccacactgtg atccccccac 15541 tgctgttcta tgagggctgc gtctttgacc ggtgccacat gacggacctg gatgtggtgt 15601 gctccagcct ggagctgtac gcggcactct gtgcgtccca cgacatctgc atcgattgga 15661 gaggccggac cggccacatg tgcccattca cctgcccagc cgacaaggtg taccagccct 15721 gcggcccgag caacccctcc tactgctacg ggaatgacag cgccagcctc ggggctctgc 15781 cggaggccgg ccccatcacc gaaggctgct tctgtccgga gggcatgacc ctcttcagca 15841 ccagtgccca agtctgcgtg cccacgggct gccccaggtg tctggggccc cacggagagc 15901 cggtgaaggt gggccacacc gtcggcatgg actgccagga gtgcacgtgt gaggcggcca 15961 cgtggacgct gacctgccga cccaagctct gcccgctgcc ccctgcctgc cccctgcccg 16021 gcttcgtgcc tgtgcctgca gccccacagg ccggccagtg ctgcccccag tacagctgcg 16081 cctgcaacac cagccgctgc cccgcgcccg tgggctgtcc tgagggcgcc cgcgcgatcc 16141 cgacctacca ggagggggcc tgctgcccag tccaaaactg cagctggaca gtgtgcagca 16201 tcaacgggac cctgtaccag cccggcgccg tggtctcctc gagcctgtgc gaaacctgca 16261 ggtgtgagct gccgggtggc cccccatcgg acgcgtttgt ggtcagctgt gagacccaga 16321 tctgcaacac acactgccct gtgggcttcg agtaccagga gcagagcggg cagtgctgtg 16381 gcacctgtgt gcaggtcgcc tgtgtcacca acaccagcaa gagccccgcc cacctcttct 16441 accccggcga gacctggtca gacgcaggga accactgtgt gacccaccag tgtgagaagc 16501 accaggatgg gctcgtggtg gtcaccacga agaaggcgtg ccccccgctc agctgttctc 16561 tggacgaggc ccgcatgagc aaggacggct gctgccgctt ctgcccgccg cccccgcccc 16621 cgtaccagaa ccagtcgacc tgtgctgtgt accataggag cctgatcatc cagcagcagg 16681 gctgcagctc ctcggagccc gtgcgcctgg cttactgccg ggggaactgt ggggacagct 16741 cttccatgta ctcgctcgag ggcaacacgg tggagcacag gtgccagtgc tgccaggagc 16801 tgcggacctc gctgaggaat gtgaccctgc actgcaccga cggctccagc cgggccttca 16861 gctacaccga ggtggaagag tgcggctgca tgggccggcg gtgccctgcg ccgggcgaca 16921 cccagcactc ggaggaggcg gaacccgagc ccagccagga ggcagagagt gggagctggg 16981 agagaggcgt cccagtgtcc cccatgcact gaccagcact gccgccctcc tgacctccaa 17041 ggagaacctc ccatatgtcc tctgagctcg gcttccaagg ccagtggaac ttgtgcccct 17101 gtccaggcgg ctgcagcttt gaacacactg tccacgcccg ctttcttgtg gagggtgtgg 17161 gctatgggtc acctgctgcc tggaggaggg gcccttaccc accccgcctg cagccacctc 17221 tcaggaccag ccccggggct ggccgagctc ctctggccat gcatccagcc tgctgttctg 17281 gggacgtgag catcacctga gggtctcagg aatgacgctt ggacatggtg atcagctgcc 17341 tggtggctgc aggaggaaga acctcactcc tacctcagcc ctcagcctgc gctcccctcc 17401 tcagtacacg gccaatctgt tgcataaata cacttgagca ttttgcaa

In some embodiments, a MUC5AC RNAi agent includes an antisense strand wherein position 19 of the antisense strand (5′→3′) is capable of forming a base pair with position 1 of a 19-mer target sequence disclosed in Table 1. In some embodiments, a MUC5AC agent includes an antisense strand wherein position 1 of the antisense strand (5′43′) is capable of forming a base pair with position 19 of a 19-mer target sequence disclosed in Table 1.

In some embodiments, a MUC5AC agent includes an antisense strand wherein position 2 of the antisense strand (5′→3′) is capable of forming a base pair with position 18 of a 19-mer target sequence disclosed in Table 1. In some embodiments, a MUC5AC agent includes an antisense strand wherein positions 2 through 18 of the antisense strand (5′ →3′) are capable of forming base pairs with each of the respective complementary bases located at positions 18 through 2 of the 19-mer target sequence disclosed in Table 1.

For the RNAi agents disclosed herein, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) can be perfectly complementary to a MUC5AC gene, or can be non-complementary to a MUC5AC gene. In some embodiments, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) is a U, A, or dT. In some embodiments, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) forms an A:U or U:A base pair with the sense strand.

In some embodiments, a MUC5AC RNAi agent antisense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 2-18 or 2-19 of any of the antisense strand sequences in Table 2, Table 3, or Table 11. In some embodiments, a MUC5AC RNAi sense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 1-17, 1-18, or 2-18 of any of the sense strand sequences in Table 2, Table 4, Table 5, Table 6, or Table 7.

In some embodiments, a MUC5AC RNAi agent is comprised of (i) an antisense strand comprising the sequence of nucleotides (from 5′ end→3′ end) 1-18, 1-19, or 2-19 of any of the antisense strand sequences in Table 2 or Table 3, and (ii) a sense strand comprising the sequence of nucleotides (from 5′ end→3′ end) 2-19, 1-19, 1-18, or 2-18 of any of the sense strand sequences in Table 2, Table 4, Table 5, Table 6, or Table 7.

In some embodiments, the MUC5AC RNAi agents include core 19-mer nucleotide sequences shown in the following Table 2.

TABLE 2 MUC5AC RNAi Agent Antisense Strand and Sense Strand Core Stretch Base Sequences (N = any nucleobase; I = inosine (hypoxanthine nucleobase) Corresponding Antisense Strand Base Sense Strand Base Positions of SEQ Sequence (5′ → 3′) SEQ Sequence (5′ → 3′) Identified Targeted ID (Shown as an Unmodified ID (Shown as an Unmodified  Sequence on Gene NO:. Nucleotide Sequence) NO:. Nucleotide Sequence) SEQ ID NO: 1 Position  79 UUGUAGUAGUCGCAGAACA  568 UGUUCUGCGACUACUACAA 3535-3553  3535  80 NUGUAGUAGUCGCAGAACA  569 UGUUCUGCGACUACUACAN 3535-3553  3535  81 UUGUAGUAGUCGCAGAACN  570 NGUUCUGCGACUACUACAA 3535-3553  3535  82 NUGUAGUAGUCGCAGAACN  571 NGUUCUGCGACUACUACAN 3535-3553  3535  83 UUCUUGUUCAGGCAAAUCA  572 UGAUUUGCCUGAACAAGAA 4993-5011  4993  84 NUCUUGUUCAGGCAAAUCA  573 UGAUUUGCCUGAACAAGAN 4993-5011  4993  85 UUCUUGUUCAGGCAAAUCN  574 NGAUUUGCCUGAACAAGAA 4993-5011  4993  86 NUCUUGUUCAGGCAAAUCN  575 NGAUUUGCCUGAACAAGAN 4993-5011  4993  87 CUUGAUGGCCUUGGAGCAG  576 CUGCUCCAAGGCCAUCAAG 2924-2942  2924  88 UUUGAUGGCCUUGGAGCAG  577 CUGCUCCAAGGCCAUCAAA 2924-2942  2924  89 NUUGAUGGCCUUGGAGCAG  578 CUGCUCCAAGGCCAUCAAN 2924-2942  2924  90 UUUGAUGGCCUUGGAGCAN  579 NUGCUCCAAGGCCAUCAAA 2924-2942  2924  91 NUUGAUGGCCUUGGAGCAN  580 NUGCUCCAAGGCCAUCAAN 2924-2942  2924  92 AAUCUUGAUGGCCUUGGAG  581 CUCCAAGGCCAUCAAGAUU 2927-2945  2927  93 AAUCUUGAUGGCCUUGGAN  582 NUCCAAGGCCAUCAAGAUU 2927-2945  2927  94 UAUCUUGAUGGCCUUGGAG  583 CUCCAAGGCCAUCAAGAUA 2927-2945  2927  95 UAUCUUGAUGGCCUUGGAN  584 NUCCAAGGCCAUCAAGAUA 2927-2945  2927  96 NAUCUUGAUGGCCUUGGAG  585 CUCCAAGGCCAUCAAGAUN 2927-2945  2927  97 NAUCUUGAUGGCCUUGGAN  586 NUCCAAGGCCAUCAAGAUN 2927-2945  2927  98 CUUGAACUCGGGGCUGAGG  587 CCUCAGCCCCGAGUUCAAG 3116-3134  3116  99 UUUGAACUCGGGGCUGAGG  588 CCUCAGCCCCGAGUUCAAA 3116-3134  3116 100 NUUGAACUCGGGGCUGAGG  589 CCUCAGCCCCGAGUUCAAN 3116-3134  3116 101 UUUGAACUCGGGGCUGAGN  590 NCUCAGCCCCGAGUUCAAA 3116-3134  3116 102 NUUGAACUCGGGGCUGAGN  591 NCUCAGCCCCGAGUUCAAN 3116-3134  3116 103 GGAUGCUGCACUGCUUCUG  592 CAGAAGCAGUGCAGCAUCC 3321-3339  3321 104 UGAUGCUGCACUGCUUCUG  593 CAGAAGCAGUGCAGCAUCA 3321-3339  3321 105 NGAUGCUGCACUGCUUCUG  594 CAGAAGCAGUGCAGCAUCN 3321-3339  3321 106 UGAUGCUGCACUGCUUCUN  595 NAGAAGCAGUGCAGCAUCA 3321-3339  3321 107 NGAUGCUGCACUGCUUCUN  596 NAGAAGCAGUGCAGCAUCN 3321-3339  3321 108 UGAUGCUGCACUGCUUCUG  597 CAGAAGCAGUGCAICAUCA 3321-3339  3321 109 UGAUGCUGCACUGCUUCUN  598 NAGAAGCAGUGCAICAUCA 3321-3339  3321 110 NGAUGCUGCACUGCUUCUG  599 CAGAAGCAGUGCAICAUCN 3321-3339  3321 111 NGAUGCUGCACUGCUUCUN  600 NAGAAGCAGUGCAICAUCN 3321-3339  3321 112 GUAGUCGCAGAACAGAGGG  601 CCCUCUGUUCUGCGACUAC 3530-3548  3530 113 UUAGUCGCAGAACAGAGGG  602 CCCUCUGUUCUGCGACUAA 3530-3548  3530 114 UUAGUCGCAGAACAGAGGN  603 NCCUCUGUUCUGCGACUAA 3530-3548  3530 115 NUAGUCGCAGAACAGAGGG  604 CCCUCUGUUCUGCGACUAN 3530-3548  3530 116 NUAGUCGCAGAACAGAGGN  605 NCCUCUGUUCUGCGACUAN 3530-3548  3530 117 UUAGUCGCAGAACAGAGGG  606 CCCUCUGUUCUGCIACUAA 3530-3548  3530 118 UUAGUCGCAGAACAGAGGN  607 NCCUCUGUUCUGCIACUAA 3530-3548  3530 119 NUAGUCGCAGAACAGAGGG  608 CCCUCUGUUCUGCIACUAN 3530-3548  3530 120 NUAGUCGCAGAACAGAGGN  609 NCCUCUGUUCUGCIACUAN 3530-3548  3530 121 AGUAGUCGCAGAACAGAGG  610 CCUCUGUUCUGCGACUACU 3531-3549  3531 122 AGUAGUCGCAGAACAGAGN  611 NCUCUGUUCUGCGACUACU 3531-3549  3531 123 UGUAGUCGCAGAACAGAGG  612 CCUCUGUUCUGCGACUACA 3531-3549  3531 124 UGUAGUCGCAGAACAGAGN  613 NCUCUGUUCUGCGACUACA 3531-3549  3531 125 NGUAGUCGCAGAACAGAGG  614 CCUCUGUUCUGCGACUACN 3531-3549  3531 126 NGUAGUCGCAGAACAGAGN  615 NCUCUGUUCUGCGACUACN 3531-3549  3531 127 AGUAGUCGCAGAACAGAGG  616 CCUCUGUUCUICGACUACU 3531-3549  3531 128 AGUAGUCGCAGAACAGAGN  617 NCUCUGUUCUICGACUACU 3531-3549  3531 129 UGUAGUCGCAGAACAGAGG  618 CCUCUGUUCUICGACUACA 3531-3549  3531 130 UGUAGUCGCAGAACAGAGN  619 NCUCUGUUCUICGACUACA 3531-3549  3531 131 NGUAGUCGCAGAACAGAGG  620 CCUCUGUUCUICGACUACN 3531-3549  3531 132 NGUAGUCGCAGAACAGAGN  621 NCUCUGUUCUICGACUACN 3531-3549  3531 133 GUAGUAGUCGCAGAACAGA  622 UCUGUUCUGCGACUACUAC 3533-3551  3533 134 UUAGUAGUCGCAGAACAGA  623 UCUGUUCUGCGACUACUAA 3533-3551  3533 135 NUAGUAGUCGCAGAACAGA  624 UCUGUUCUGCGACUACUAN 3533-3551  3533 136 NUAGUAGUCGCAGAACAGN  625 NCUGUUCUGCGACUACUAN 3533-3551  3533 137 UGUAGUAGUCGCAGAACAG  626 CUGUUCUGCGACUACUACA 3534-3552  3534 138 NGUAGUAGUCGCAGAACAG  627 CUGUUCUGCGACUACUACN 3534-3552  3534 139 NGUAGUAGUCGCAGAACAN  628 NUGUUCUGCGACUACUACN 3534-3552  3534 140 AUAGUUGUAGCAGAUGGGU  629 ACCCAUCUGCUACAACUAU 5021-5039  5021 141 AUAGUUGUAGCAGAUGGGN  630 NCCCAUCUGCUACAACUAU 5021-5039  5021 142 UUAGUUGUAGCAGAUGGGU  631 ACCCAUCUGCUACAACUAA 5021-5039  5021 143 UUAGUUGUAGCAGAUGGGN  632 NCCCAUCUGCUACAACUAA 5021-5039  5021 144 NUAGUUGUAGCAGAUGGGU  633 ACCCAUCUGCUACAACUAN 5021-5039  5021 145 NUAGUUGUAGCAGAUGGGN  634 NCCCAUCUGCUACAACUAN 5021-5039  5021 146 GUCCACGUCGAACCACUUU  635 AAAGUGGUUCGACGUGGAC 5297-5315  5297 147 UUCCACGUCGAACCACUUU  636 AAAGUGGUUCGACGUGGAA 5297-5315  5297 148 UUCCACGUCGAACCACUUN  637 NAAGUGGUUCGACGUGGAA 5297-5315  5297 149 NUCCACGUCGAACCACUUU  638 AAAGUGGUUCGACGUGGAN 5297-5315  5297 150 NUCCACGUCGAACCACUUN  639 NAAGUGGUUCGACGUGGAN 5297-5315  5297 151 UUCCACGUCGAACCACUUU  640 AAAGUGGUUCGACIUGGAA 5297-5315  5297 152 UUCCACGUCGAACCACUUN  641 NAAGUGGUUCGACIUGGAA 5297-5315  5297 153 NUCCACGUCGAACCACUUU  642 AAAGUGGUUCGACIUGGAN 5297-5315  5297 154 NUCCACGUCGAACCACUUN  643 NAAGUGGUUCGACIUGGAN 5297-5315  5297 155 GAAGUCCACGUCGAACCAC  644 GUGGUUCGACGUGGACUUC 5300-5318  5300 156 UAAGUCCACGUCGAACCAC  645 GUGGUUCGACGUGGACUUA 5300-5318  5300 157 UAAGUCCACGUCGAACCAN  646 NUGGUUCGACGUGGACUUA 5300-5318  5300 158 NAAGUCCACGUCGAACCAC  647 GUGGUUCGACGUGGACUUN 5300-5318  5300 159 NAAGUCCACGUCGAACCAN  648 NUGGUUCGACGUGGACUUN 5300-5318  5300 160 UAAGUCCACGUCGAACCAC  649 GUGGUUCGACGUGIACUUA 5300-5318  5300 161 UAAGUCCACGUCGAACCAN  650 NUGGUUCGACGUGIACUUA 5300-5318  5300 162 NAAGUCCACGUCGAACCAC  651 GUGGUUCGACGUGIACUUN 5300-5318  5300 163 NAAGUCCACGUCGAACCAN  652 NUGGUUCGACGUGIACUUN 5300-5318  5300 164 GGGAAGUCCACGUCGAACC  653 GGUUCGACGUGGACUUCCC 5302-5320  5302 165 UGGAAGUCCACGUCGAACC  654 GGUUCGACGUGGACUUCCA 5302-5320  5302 166 UGGAAGUCCACGUCGAACN  655 NGUUCGACGUGGACUUCCA 5302-5320  5302 167 NGGAAGUCCACGUCGAACC  656 GGUUCGACGUGGACUUCCN 5302-5320  5302 168 NGGAAGUCCACGUCGAACN  657 NGUUCGACGUGGACUUCCN 5302-5320  5302 169 UGGAAGUCCACGUCGAACC  658 GGUUCGACGUGIACUUCCA 5302-5320  5302 170 UGGAAGUCCACGUCGAACN  659 NGUUCGACGUGIACUUCCA 5302-5320  5302 171 NGGAAGUCCACGUCGAACC  660 GGUUCGACGUGIACUUCCN 5302-5320  5302 172 NGGAAGUCCACGUCGAACN  661 NGUUCGACGUGIACUUCCN 5302-5320  5302 173 AGAUGCUGGUCUUCUUGUC  662 GACAAGAAGACCAGCAUCU 3090-3108  3090 174 AGAUGCUGGUCUUCUUGUN  663 NACAAGAAGACCAGCAUCU 3090-3108  3090 175 UGAUGCUGGUCUUCUUGUC  664 GACAAGAAGACCAGCAUCA 3090-3108  3090 176 UGAUGCUGGUCUUCUUGUN  665 NACAAGAAGACCAGCAUCA 3090-3108  3090 177 NGAUGCUGGUCUUCUUGUC  666 GACAAGAAGACCAGCAUCN 3090-3108  3090 178 NGAUGCUGGUCUUCUUGUN  667 NACAAGAAGACCAGCAUCN 3090-3108  3090 179 AGAUGCUGGUCUUCUUGUC  668 GACAAGAAGACCAICAUCU 3090-3108  3090 180 AGAUGCUGGUCUUCUUGUN  669 NACAAGAAGACCAICAUCU 3090-3108  3090 181 UGAUGCUGGUCUUCUUGUC  670 GACAAGAAGACCAICAUCA 3090-3108  3090 182 UGAUGCUGGUCUUCUUGUN  671 NACAAGAAGACCAICAUCA 3090-3108  3090 183 NGAUGCUGGUCUUCUUGUC  672 GACAAGAAGACCAICAUCN 3090-3108  3090 184 NGAUGCUGGUCUUCUUGUN  673 NACAAGAAGACCAICAUCN 3090-3108  3090 185 GGUUGAUGAAGAUGCUGGU  674 ACCAGCAUCUUCAUCAACC 3099-3117  3099 186 UGUUGAUGAAGAUGCUGGN  675 NCCAGCAUCUUCAUCAACC 3099-3117  3099 187 NGUUGAUGAAGAUGCUGGU  676 ACCAGCAUCUUCAUCAACN 3099-3117  3099 188 NGUUGAUGAAGAUGCUGGN  677 NCCAGCAUCUUCAUCAACN 3099-3117  3099 189 AUGUUGUUGUAGGUUUCCU  678 AGGAAACCUACAACAACAU 5347-5365  5347 190 AUGUUGUUGUAGGUUUCCN  679 NGGAAACCUACAACAACAU 5347-5365  5347 191 UUGUUGUUGUAGGUUUCCU  680 AGGAAACCUACAACAACAA 5347-5365  5347 192 UUGUUGUUGUAGGUUUCCN  681 NGGAAACCUACAACAACAA 5347-5365  5347 193 NUGUUGUUGUAGGUUUCCN  682 NGGAAACCUACAACAACAN 5347-5365  5347 194 AUGAUGUUGUUGUAGGUUU  683 AAACCUACAACAACAUCAU 5350-5368  5350 195 AUGAUGUUGUUGUAGGUUN  684 NAACCUACAACAACAUCAU 5350-5368  5350 196 UUGAUGUUGUUGUAGGUUU  685 AAACCUACAACAACAUCAA 5350-5368  5350 197 UUGAUGUUGUUGUAGGUUN  686 NAACCUACAACAACAUCAA 5350-5368  5350 198 NUGAUGUUGUUGUAGGUUN  687 NAACCUACAACAACAUCAN 5350-5368  5350 199 UUGAUGAAGAUGCUGGUCU  688 AGACCAGCAUCUUCAUCAA 3097-3115  3097 200 UUGAUGAAGAUGCUGGUCN  689 NGACCAGCAUCUUCAUCAA 3097-3115  3097 201 NUGAUGAAGAUGCUGGUCU  690 AGACCAGCAUCUUCAUCAN 3097-3115  3097 202 NUGAUGAAGAUGCUGGUCN  691 NGACCAGCAUCUUCAUCAN 3097-3115  3097 203 UGAUCUGGUAGUUGUAGCA  692 UGCUACAACUACCAGAUCA 4443-4461  4443 204 UGAUCUGGUAGUUGUAGCN  693 NGCUACAACUACCAGAUCA 4443-4461  4443 205 NGAUCUGGUAGUUGUAGCA  694 UGCUACAACUACCAGAUCN 4443-4461  4443 206 NGAUCUGGUAGUUGUAGCN  695 NGCUACAACUACCAGAUCN 4443-4461  4443 207 UGAUCUGGUAGUUGUAGCN  696 NGCUACAACUACCAIAUCA 4443-4461  4443 208 NGAUCUGGUAGUUGUAGCA  697 UGCUACAACUACCAIAUCN 4443-4461  4443 209 NGAUCUGGUAGUUGUAGCN  698 NGCUACAACUACCAIAUCN 4443-4461  4443 210 UGAUCUGGUAGUUGUAGCN  699 NGCUACAACUACCAIAUCA 4443-4461  4443 211 CCCUGAUCUGGUAGUUGUA  700 UACAACUACCAGAUCAGGG 4446-4464  4446 212 UCCUGAUCUGGUAGUUGUA  701 UACAACUACCAGAUCAGGA 4446-4464  4446 213 NCCUGAUCUGGUAGUUGUA  702 UACAACUACCAGAUCAGGN 4446-4464  4446 214 UCCUGAUCUGGUAGUUGUN  703 NACAACUACCAGAUCAGGA 4446-4464  4446 215 NCCUGAUCUGGUAGUUGUN  704 NACAACUACCAGAUCAGGN 4446-4464  4446 216 CCCUGAUCUGGUAGUUGUA  705 UACAACUACCAGAUCAIGG 4446-4464  4446 217 UCCUGAUCUGGUAGUUGUA  706 UACAACUACCAGAUCAIGA 4446-4464  4446 218 NCCUGAUCUGGUAGUUGUA  707 UACAACUACCAGAUCAIGN 4446-4464  4446 219 UCCUGAUCUGGUAGUUGUN  708 NACAACUACCAGAUCAIGA 4446-4464  4446 220 NCCUGAUCUGGUAGUUGUN  709 NACAACUACCAGAUCAIGN 4446-4464  4446 221 UAGUUGUAGCAGAUGGGUG  710 CACCCAUCUGCUACAACUA 5020-5038  5020 222 NAGUUGUAGCAGAUGGGUG  711 CACCCAUCUGCUACAACUN 5020-5038  5020 223 UAGUUGUAGCAGAUGGGUN  712 NACCCAUCUGCUACAACUA 5020-5038  5020 224 NAGUUGUAGCAGAUGGGUN  713 NACCCAUCUGCUACAACUN 5020-5038  5020 225 GCAACACUGGAUGCGGAUC  714 GAUCCGCAUCCAGUGUUGC 5042-5060  5042 226 UCAACACUGGAUGCGGAUC  715 GAUCCGCAUCCAGUGUUGA 5042-5060  5042 227 NCAACACUGGAUGCGGAUC  716 GAUCCGCAUCCAGUGUUGA 5042-5060  5042 228 UCAACACUGGAUGCGGAUN  717 NAUCCGCAUCCAGUGUUGN 5042-5060  5042 229 NCAACACUGGAUGCGGAUN  718 NAUCCGCAUCCAGUGUUGN 5042-5060  5042 230 GCAACACUGGAUGCGGAUC  719 GAUCCGCAUCCAGUIUUGC 5042-5060  5042 231 UCAACACUGGAUGCGGAUC  720 GAUCCGCAUCCAGUIUUGA 5042-5060  5042 232 NCAACACUGGAUGCGGAUC  721 GAUCCGCAUCCAGUIUUGA 5042-5060  5042 233 UCAACACUGGAUGCGGAUN  722 NAUCCGCAUCCAGUIUUGN 5042-5060  5042 234 NCAACACUGGAUGCGGAUN  723 NAUCCGCAUCCAGUIUUGN 5042-5060  5042 235 GUGUUCGAUGCUCACCUCU  724 AGAGGUGAGCAUCGAACAC 5441-5459  5441 236 UUGUUCGAUGCUCACCUCU  725 AGAGGUGAGCAUCGAACAA 5441-5459  5441 237 NUGUUCGAUGCUCACCUCU  726 AGAGGUGAGCAUCGAACAN 5441-5459  5441 238 UUGUUCGAUGCUCACCUCN  727 NGAGGUGAGCAUCGAACAA 5441-5459  5441 239 NUGUUCGAUGCUCACCUCN  728 NGAGGUGAGCAUCGAACAN 5441-5459  5441 240 GUGUUCGAUGCUCACCUCU  729 AGAGGUGAGCAUCIAACAC 5441-5459  5441 241 UUGUUCGAUGCUCACCUCU  730 AGAGGUGAGCAUCIAACAA 5441-5459  5441 242 NUGUUCGAUGCUCACCUCU  731 AGAGGUGAGCAUCIAACAN 5441-5459  5441 243 UUGUUCGAUGCUCACCUCN  732 NGAGGUGAGCAUCIAACAA 5441-5459  5441 244 NUGUUCGAUGCUCACCUCN  733 NGAGGUGAGCAUCIAACAN 5441-5459  5441 245 CAUCUUGAAGGGUCCCUGC  734 GCAGGGACCCUUCAAGAUG 5519-5537  5519 246 UAUCUUGAAGGGUCCCUGC  735 GCAGGGACCCUUCAAGAUA 5519-5537  5519 247 NAUCUUGAAGGGUCCCUGC  736 GCAGGGACCCUUCAAGAUN 5519-5537  5519 248 UAUCUUGAAGGGUCCCUGN  737 NCAGGGACCCUUCAAGAUA 5519-5537  5519 249 NAUCUUGAAGGGUCCCUGN  738 NCAGGGACCCUUCAAGAUN 5519-5537  5519 250 UCGUAGUUGAGGCACAUCU  739 AGAUGUGCCUCAACUACGA 5533-5551  5533 251 NCGUAGUUGAGGCACAUCU  740 AGAUGUGCCUCAACUACGN 5533-5551  5533 252 UCGUAGUUGAGGCACAUCN  741 NGAUGUGCCUCAACUACGA 5533-5551  5533 253 NCGUAGUUGAGGCACAUCN  742 NGAUGUGCCUCAACUACGN 5533-5551  5533 254 UCGUAGUUGAGGCACAUCU  743 AGAUGUGCCUCAACUACIA 5533-5551  5533 255 NCGUAGUUGAGGCACAUCU  744 AGAUGUGCCUCAACUACIN 5533-5551  5533 256 UCGUAGUUGAGGCACAUCN  745 NGAUGUGCCUCAACUACIA 5533-5551  5533 257 NCGUAGUUGAGGCACAUCN  746 NGAUGUGCCUCAACUACIN 5533-5551  5533 258 CCUCGUAGUUGAGGCACAU  747 AUGUGCCUCAACUACGAGG 5535-5553  5535 259 UCUCGUAGUUGAGGCACAU  748 AUGUGCCUCAACUACGAGA 5535-5553  5535 260 NCUCGUAGUUGAGGCACAU  749 AUGUGCCUCAACUACGAGN 5535-5553  5535 261 UCUCGUAGUUGAGGCACAN  750 NUGUGCCUCAACUACGAGA 5535-5553  5535 262 NCUCGUAGUUGAGGCACAN  751 NUGUGCCUCAACUACGAGN 5535-5553  5535 263 CCUCGUAGUUGAGGCACAU  752 AUGUGCCUCAACUACIAGG 5535-5553  5535 264 UCUCGUAGUUGAGGCACAU  753 AUGUGCCUCAACUACIAGA 5535-5553  5535 265 NCUCGUAGUUGAGGCACAU  754 AUGUGCCUCAACUACIAGN 5535-5553  5535 266 UCUCGUAGUUGAGGCACAN  755 NUGUGCCUCAACUACIAGA 5535-5553  5535 267 NCUCGUAGUUGAGGCACAN  756 NUGUGCCUCAACUACIAGN 5535-5553  5535 268 CUUCAGGCAGGUCUCGCUG  757 CAGCGAGACCUGCCUGAAG 1493-1511  1493 269 UUUCAGGCAGGUCUCGCUG  758 CAGCGAGACCUGCCUGAAA 1493-1511  1493 270 NUUCAGGCAGGUCUCGCUG  759 CAGCGAGACCUGCCUGAAN 1493-1511  1493 271 UUUCAGGCAGGUCUCGCUN  760 NAGCGAGACCUGCCUGAAA 1493-1511  1493 272 NUUCAGGCAGGUCUCGCUN  761 NAGCGAGACCUGCCUGAAN 1493-1511  1493 273 GUCUGAAGAUGGUGACGUU  762 AACGUCACCAUCUUCAGAC 1617-1635  1617 274 UUCUGAAGAUGGUGACGUU  763 AACGUCACCAUCUUCAGAA 1617-1635  1617 275 NUCUGAAGAUGGUGACGUU  764 AACGUCACCAUCUUCAGAN 1617-1635  1617 276 UUCUGAAGAUGGUGACGUN  765 NACGUCACCAUCUUCAGAA 1617-1635  1617 277 NUCUGAAGAUGGUGACGUN  766 NACGUCACCAUCUUCAGAN 1617-1635  1617 278 GGUCUGAAGAUGGUGACGU  767 ACGUCACCAUCUUCAGACC 1618-1636  1618 279 UGUCUGAAGAUGGUGACGU  768 ACGUCACCAUCUUCAGACA 1618-1636  1618 280 NGUCUGAAGAUGGUGACGU  769 ACGUCACCAUCUUCAGACN 1618-1636  1618 281 UGUCUGAAGAUGGUGACGN  770 NCGUCACCAUCUUCAGACA 1618-1636  1618 282 NGUCUGAAGAUGGUGACGN  771 NCGUCACCAUCUUCAGACN 1618-1636  1618 283 GGUCUGAAGAUGGUGACGU  772 ACGUCACCAUCUUCAIACC 1618-1636  1618 284 UGUCUGAAGAUGGUGACGU  773 ACGUCACCAUCUUCAIACA 1618-1636  1618 285 NGUCUGAAGAUGGUGACGU  774 ACGUCACCAUCUUCAIACN 1618-1636  1618 286 UGUCUGAAGAUGGUGACGN  775 NCGUCACCAUCUUCAIACA 1618-1636  1618 287 NGUCUGAAGAUGGUGACGN  776 NCGUCACCAUCUUCAIACN 1618-1636  1618 288 CGGAAGUCAUCGGCCUGGA  777 UCCAGGCCGAUGACUUCCG 1777-1795  1777 289 UGGAAGUCAUCGGCCUGGA  778 UCCAGGCCGAUGACUUCCA 1777-1795  1777 290 NGGAAGUCAUCGGCCUGGA  779 UCCAGGCCGAUGACUUCCN 1777-1795  1777 291 UGGAAGUCAUCGGCCUGGN  780 NCCAGGCCGAUGACUUCCA 1777-1795  1777 292 NGGAAGUCAUCGGCCUGGN  781 NCCAGGCCGAUGACUUCCN 1777-1795  1777 293 CUUGAAGGUGUUGAAGAAG  782 CUUCUUCAACACCUUCAAG 1832-1850  1832 294 UUUGAAGGUGUUGAAGAAG  783 CUUCUUCAACACCUUCAAA 1832-1850  1832 295 NUUGAAGGUGUUGAAGAAG  784 CUUCUUCAACACCUUCAAN 1832-1850  1832 296 UUUGAAGGUGUUGAAGAAN  785 NUUCUUCAACACCUUCAAA 1832-1850  1832 297 NUUGAAGGUGUUGAAGAAN  786 NUUCUUCAACACCUUCAAN 1832-1850  1832 298 UGCAGUUCGAGUAGUAGGU  787 ACCUACUACUCGAACUGCA 2001-2019  2001 299 NGCAGUUCGAGUAGUAGGU  788 ACCUACUACUCGAACUGCN 2001-2019  2001 300 UGCAGUUCGAGUAGUAGGN  789 NCCUACUACUCGAACUGCA 2001-2019  2001 301 NGCAGUUCGAGUAGUAGGN  790 NCCUACUACUCGAACUGCN 2001-2019  2001 302 UGCAGUUCGAGUAGUAGGU  791 ACCUACUACUCGAACUICA 2001-2019  2001 303 NGCAGUUCGAGUAGUAGGU  792 ACCUACUACUCGAACUICN 2001-2019  2001 304 UGCAGUUCGAGUAGUAGGN  793 NCCUACUACUCGAACUICA 2001-2019  2001 305 NGCAGUUCGAGUAGUAGGN  794 NCCUACUACUCGAACUICN 2001-2019  2001 306 CUUGGAGCAGGUGGUCCCU  795 AGGGACCACCUGCUCCAAG 2915-2933  2915 307 UUUGGAGCAGGUGGUCCCU  796 AGGGACCACCUGCUCCAAA 2915-2933  2915 308 NUUGGAGCAGGUGGUCCCU  797 AGGGACCACCUGCUCCAAN 2915-2933  2915 309 UUUGGAGCAGGUGGUCCCN  798 NGGGACCACCUGCUCCAAA 2915-2933  2915 310 NUUGGAGCAGGUGGUCCCN  799 NGGGACCACCUGCUCCAAN 2915-2933  2915 311 UCUUGAUGGCCUUGGAGCA  800 UGCUCCAAGGCCAUCAAGA 2925-2943  2925 312 NCUUGAUGGCCUUGGAGCA  801 UGCUCCAAGGCCAUCAAGN 2925-2943  2925 313 UCUUGAUGGCCUUGGAGCN  802 NGCUCCAAGGCCAUCAAGA 2925-2943  2925 314 NCUUGAUGGCCUUGGAGCN  803 NGCUCCAAGGCCAUCAAGN 2925-2943  2925 315 CUGUCAUCGUGGUUCCACA  804 UGUGGAACCACGAUGACAG 610-628   610 316 UUGUCAUCGUGGUUCCACA  805 UGUGGAACCACGAUGACAA 610-628   610 317 NUGUCAUCGUGGUUCCACA  806 UGUGGAACCACGAUGACAN 610-628   610 318 UUGUCAUCGUGGUUCCACN  807 NGUGGAACCACGAUGACAA 610-628   610 319 NUGUCAUCGUGGUUCCACN  808 NGUGGAACCACGAUGACAN 610-628   610 320 CUGUCAUCGUGGUUCCACA  809 UGUGGAACCACGAUIACAG 610-628   610 321 UUGUCAUCGUGGUUCCACA  810 UGUGGAACCACGAUIACAA 610-628   610 322 NUGUCAUCGUGGUUCCACA  811 UGUGGAACCACGAUIACAN 610-628   610 323 UUGUCAUCGUGGUUCCACN  812 NGUGGAACCACGAUIACAA 610-628   610 324 NUGUCAUCGUGGUUCCACN  813 NGUGGAACCACGAUIACAN 610-628   610 325 ACAGAAGCAGAGGUCUUGC  814 GCAAGACCUCUGCUUCUGU 923-941   923 326 ACAGAAGCAGAGGUCUUGN  815 NCAAGACCUCUGCUUCUGU 923-941   923 327 UCAGAAGCAGAGGUCUUGC  816 GCAAGACCUCUGCUUCUGA 923-941   923 328 UCAGAAGCAGAGGUCUUGN  817 NCAAGACCUCUGCUUCUGA 923-941   923 329 ACAGAAGCAGAGGUCUUGC  818 GCAAGACCUCUGCUUCUIU 923-941   923 330 ACAGAAGCAGAGGUCUUGN  819 NCAAGACCUCUGCUUCUIU 923-941   923 331 UCAGAAGCAGAGGUCUUGC  820 GCAAGACCUCUGCUUCUIA 923-941   923 332 UCAGAAGCAGAGGUCUUGN  821 NCAAGACCUCUGCUUCUIA 923-941   923 333 GCAGUUGGUGCAGUCUGUG  822 CACAGACUGCACCAACUGC 1277-1295  1277 334 UCAGUUGGUGCAGUCUGUG  823 CACAGACUGCACCAACUGA 1277-1295  1277 335 NCAGUUGGUGCAGUCUGUG  824 CACAGACUGCACCAACUGA 1277-1295  1277 336 UCAGUUGGUGCAGUCUGUN  825 NACAGACUGCACCAACUGN 1277-1295  1277 337 NCAGUUGGUGCAGUCUGUN  826 NACAGACUGCACCAACUGN 1277-1295  1277 338 GCAGUUGGUGCAGUCUGUG  827 CACAGACUGCACCAACUIC 1277-1295  1277 339 UCAGUUGGUGCAGUCUGUG  828 CACAGACUGCACCAACUIA 1277-1295  1277 340 NCAGUUGGUGCAGUCUGUG  829 CACAGACUGCACCAACUIA 1277-1295  1277 341 UCAGUUGGUGCAGUCUGUN  830 NACAGACUGCACCAACUIN 1277-1295  1277 342 NCAGUUGGUGCAGUCUGUN  831 NACAGACUGCACCAACUIN 1277-1295  1277 343 GCAGUACAGUGAAGGCACU  832 AGUGCCUUCACUGUACUGC 1446-1464  1446 344 UCAGUACAGUGAAGGCACU  833 AGUGCCUUCACUGUACUGA 1446-1464  1446 345 NCAGUACAGUGAAGGCACU  834 AGUGCCUUCACUGUACUGN 1446-1464  1446 346 UCAGUACAGUGAAGGCACN  835 NGUGCCUUCACUGUACUGA 1446-1464  1446 347 NCAGUACAGUGAAGGCACN  836 NGUGCCUUCACUGUACUGN 1446-1464  1446 348 GCAGUACAGUGAAGGCACU  837 AGUGCCUUCACUGUACUIC 1446-1464  1446 349 UCAGUACAGUGAAGGCACU  838 AGUGCCUUCACUGUACUIA 1446-1464  1446 350 NCAGUACAGUGAAGGCACU  839 AGUGCCUUCACUGUACUIN 1446-1464  1446 351 UCAGUACAGUGAAGGCACN  840 NGUGCCUUCACUGUACUIA 1446-1464  1446 352 NCAGUACAGUGAAGGCACN  841 NGUGCCUUCACUGUACUIN 1446-1464  1446 353 UGCUGUUGAAGUUCCCACA  842 UGUGGGAACUUCAACAGCA 1758-1776  1758 354 NGCUGUUGAAGUUCCCACA  843 UGUGGGAACUUCAACAGCN 1758-1776  1758 355 UGCUGUUGAAGUUCCCACN  844 NGUGGGAACUUCAACAGCA 1758-1776  1758 356 NGCUGUUGAAGUUCCCACN  845 NGUGGGAACUUCAACAGCN 1758-1776  1758 357 UGCUGUUGAAGUUCCCACA  846 UGUGGGAACUUCAACAICA 1758-1776  1758 358 NGCUGUUGAAGUUCCCACA  847 UGUGGGAACUUCAACAICN 1758-1776  1758 359 UGCUGUUGAAGUUCCCACN  848 NGUGGGAACUUCAACAICA 1758-1776  1758 360 NGCUGUUGAAGUUCCCACN  849 NGUGGGAACUUCAACAICN 1758-1776  1758 361 GGAUGCUGUUGAAGUUCCC  850 GGGAACUUCAACAGCAUCC 1761-1779  1761 362 UGAUGCUGUUGAAGUUCCC  851 GGGAACUUCAACAGCAUCA 1761-1779  1761 363 NGAUGCUGUUGAAGUUCCC  852 GGGAACUUCAACAGCAUCN 1761-1779  1761 364 UGAUGCUGUUGAAGUUCCN  853 NGGAACUUCAACAGCAUCA 1761-1779  1761 365 NGAUGCUGUUGAAGUUCCN  854 NGGAACUUCAACAGCAUCN 1761-1779  1761 366 GGAUGCUGUUGAAGUUCCC  855 GGGAACUUCAACAICAUCC 1761-1779  1761 367 UGAUGCUGUUGAAGUUCCC  856 GGGAACUUCAACAICAUCA 1761-1779  1761 368 NGAUGCUGUUGAAGUUCCC  857 GGGAACUUCAACAICAUCN 1761-1779  1761 369 UGAUGCUGUUGAAGUUCCN  858 NGGAACUUCAACAICAUCA 1761-1779  1761 370 NGAUGCUGUUGAAGUUCCN  859 NGGAACUUCAACAICAUCN 1761-1779  1761 371 GGGUCUUGAAGGUGUUGAA  860 UUCAACACCUUCAAGACCC 1836-1854  1836 372 UGGUCUUGAAGGUGUUGAA  861 UUCAACACCUUCAAGACCA 1836-1854  1836 373 NGGUCUUGAAGGUGUUGAA  862 UUCAACACCUUCAAGACCN 1836-1854  1836 374 UGGUCUUGAAGGUGUUGAN  863 NUCAACACCUUCAAGACCA 1836-1854  1836 375 NGGUCUUGAAGGUGUUGAN  864 NUCAACACCUUCAAGACCN 1836-1854  1836 376 GGGUCUUGAAGGUGUUGAA  865 UUCAACACCUUCAAIACCC 1836-1854  1836 377 UGGUCUUGAAGGUGUUGAA  866 UUCAACACCUUCAAIACCA 1836-1854  1836 378 NGGUCUUGAAGGUGUUGAA  867 UUCAACACCUUCAAIACCN 1836-1854  1836 379 UGGUCUUGAAGGUGUUGAN  868 NUCAACACCUUCAAIACCA 1836-1854  1836 380 NGGUCUUGAAGGUGUUGAN  869 NUCAACACCUUCAAIACCN 1836-1854  1836 381 AAGCUGUUCCUGAUGUUGG  870 CCAACAUCAGGAACAGCUU 1867-1885  1867 382 AAGCUGUUCCUGAUGUUGN  871 NCAACAUCAGGAACAGCUU 1867-1885  1867 383 UAGCUGUUCCUGAUGUUGG  872 CCAACAUCAGGAACAGCUN 1867-1885  1867 384 UAGCUGUUCCUGAUGUUGN  873 NCAACAUCAGGAACAGCUU 1867-1885  1867 385 NAGCUGUUCCUGAUGUUGN  874 NCAACAUCAGGAACAGCUN 1867-1885  1867 386 AAGCUGUUCCUGAUGUUGG  875 CCAACAUCAGGAACAICUU 1867-1885  1867 387 AAGCUGUUCCUGAUGUUGN  876 NCAACAUCAGGAACAICUU 1867-1885  1867 388 UAGCUGUUCCUGAUGUUGG  877 CCAACAUCAGGAACAICUN 1867-1885  1867 389 UAGCUGUUCCUGAUGUUGN  878 NCAACAUCAGGAACAICUU 1867-1885  1867 390 NAGCUGUUCCUGAUGUUGN  879 NCAACAUCAGGAACAICUN 1867-1885  1867 391 ACAUGCAGUUCGAGUAGUA  880 UACUACUCGAACUGCAUGU 2004-2022  2004 392 ACAUGCAGUUCGAGUAGUN  881 NACUACUCGAACUGCAUGU 2004-2022  2004 393 UCAUGCAGUUCGAGUAGUA  882 UACUACUCGAACUGCAUGA 2004-2022  2004 394 UCAUGCAGUUCGAGUAGUN  883 NACUACUCGAACUGCAUGA 2004-2022  2004 395 NCAUGCAGUUCGAGUAGUN  884 NACUACUCGAACUGCAUGN 2004-2022  2004 396 GAAGCCAACACUGCAGGUG  885 CACCUGCAGUGUUGGCUUC 2234-2252  2234 397 UAAGCCAACACUGCAGGUG  886 CACCUGCAGUGUUGGCUUA 2234-2252  2234 398 NAAGCCAACACUGCAGGUG  887 CACCUGCAGUGUUGGCUUN 2234-2252  2234 399 UAAGCCAACACUGCAGGUN  888 NACCUGCAGUGUUGGCUUA 2234-2252  2234 400 NAAGCCAACACUGCAGGUN  889 NACCUGCAGUGUUGGCUUN 2234-2252  2234 401 GAAGCCAACACUGCAGGUG  890 CACCUGCAGUGUUGICUUC 2234-2252  2234 402 UAAGCCAACACUGCAGGUG  891 CACCUGCAGUGUUGICUUA 2234-2252  2234 403 NAAGCCAACACUGCAGGUG  892 CACCUGCAGUGUUGICUUN 2234-2252  2234 404 UAAGCCAACACUGCAGGUN  893 NACCUGCAGUGUUGICUUA 2234-2252  2234 405 NAAGCCAACACUGCAGGUN  894 NACCUGCAGUGUUGICUUN 2234-2252  2234 406 CUGUAACAGGUCAUGUCCA  895 UGGACAUGACCUGUUACAG 2536-2554  2536 407 UUGUAACAGGUCAUGUCCA  896 UGGACAUGACCUGUUACAA 2536-2554  2536 408 NUGUAACAGGUCAUGUCCA  897 UGGACAUGACCUGUUACAN 2536-2554  2536 409 UUGUAACAGGUCAUGUCCN  898 NGGACAUGACCUGUUACAA 2536-2554  2536 410 NUGUAACAGGUCAUGUCCN  899 NGGACAUGACCUGUUACAN 2536-2554  2536 411 CCGUUGAAGCUGUAGCUCU  900 AGAGCUACAGCUUCAACGG 2797-2815  2797 412 UCGUUGAAGCUGUAGCUCU  901 AGAGCUACAGCUUCAACGA 2797-2815  2797 413 NCGUUGAAGCUGUAGCUCU  902 AGAGCUACAGCUUCAACGN 2797-2815  2797 414 UCGUUGAAGCUGUAGCUCN  903 NGAGCUACAGCUUCAACGA 2797-2815  2797 415 NCGUUGAAGCUGUAGCUCN  904 NGAGCUACAGCUUCAACGN 2797-2815  2797 416 CCGUUGAAGCUGUAGCUCU  905 AGAGCUACAGCUUCAACIG 2797-2815  2797 417 UCGUUGAAGCUGUAGCUCU  906 AGAGCUACAGCUUCAACIA 2797-2815  2797 418 NCGUUGAAGCUGUAGCUCU  907 AGAGCUACAGCUUCAACIN 2797-2815  2797 419 UCGUUGAAGCUGUAGCUCN  908 NGAGCUACAGCUUCAACIA 2797-2815  2797 420 NCGUUGAAGCUGUAGCUCN  909 NGAGCUACAGCUUCAACIN 2797-2815  2797 421 CAGUACAGUGAAGGCACUG  910 CAGUGCCUUCACUGUACUG 1445-1463  1445 422 UAGUACAGUGAAGGCACUG  911 CAGUGCCUUCACUGUACUA 1445-1463  1445 423 UAGUACAGUGAAGGCACUN  912 NAGUGCCUUCACUGUACUA 1445-1463  1445 424 NAGUACAGUGAAGGCACUG  913 CAGUGCCUUCACUGUACUN 1445-1463  1445 425 NAGUACAGUGAAGGCACUN  914 NAGUGCCUUCACUGUACUN 1445-1463  1445 426 CUCGAAGCUGUUCCUGAUG  915 CAUCAGGAACAGCUUCGAG 1871-1889  1871 427 UUCGAAGCUGUUCCUGAUG  916 CAUCAGGAACAGCUUCGAA 1871-1889  1871 428 UUCGAAGCUGUUCCUGAUN  917 NAUCAGGAACAGCUUCGAA 1871-1889  1871 429 NUCGAAGCUGUUCCUGAUG  918 CAUCAGGAACAGCUUCGAN 1871-1889  1871 430 NUCGAAGCUGUUCCUGAUN  919 NAUCAGGAACAGCUUCGAN 1871-1889  1871 431 CUCGAAGCUGUUCCUGAUG  920 CAUCAGGAACAGCUUCIAG 1871-1889  1871 432 UUCGAAGCUGUUCCUGAUG  921 CAUCAGGAACAGCUUCIAA 1871-1889  1871 433 UUCGAAGCUGUUCCUGAUN  922 NAUCAGGAACAGCUUCIAA 1871-1889  1871 434 NUCGAAGCUGUUCCUGAUG  923 CAUCAGGAACAGCUUCIAN 1871-1889  1871 435 NUCGAAGCUGUUCCUGAUN  924 NAUCAGGAACAGCUUCIAN 1871-1889  1871 436 UCUUGUUCAGGCAAAUCAG  925 CUGAUUUGCCUGAACAAGA 4992-5010  4992 437 UCUUGUUCAGGCAAAUCAN  926 NUGAUUUGCCUGAACAAGA 4992-5010  4992 438 NCUUGUUCAGGCAAAUCAG  927 CUGAUUUGCCUGAACAAGN 4992-5010  4992 439 NCUUGUUCAGGCAAAUCAN  928 NUGAUUUGCCUGAACAAGN 4992-5010  4992 440 UCACCAAAGUGGUUGUCCU  929 AGGACAACCACUUUGGUGA 6798-6816  6798 441 UCACCAAAGUGGUUGUCCN  930 NGGACAACCACUUUGGUGA 6798-6816  6798 442 NCACCAAAGUGGUUGUCCU  931 AGGACAACCACUUUGGUGN 6798-6816  6798 443 NCACCAAAGUGGUUGUCCN  932 NGGACAACCACUUUGGUGN 6798-6816  6798 444 UCACCAAAGUGGUUGUCCU  933 AGGACAACCACUUUIGUGA 6798-6816  6798 445 UCACCAAAGUGGUUGUCCN  934 NGGACAACCACUUUIGUGA 6798-6816  6798 446 NCACCAAAGUGGUUGUCCU  935 AGGACAACCACUUUIGUGN 6798-6816  6798 447 NCACCAAAGUGGUUGUCCN  936 NGGACAACCACUUUIGUGN 6798-6816  6798 448 GAGCAGAGGUUGUUCUGGU  937 ACCAGAACAACCUCUGCUC 8739-8757  8739 449 UAGCAGAGGUUGUUCUGGU  938 ACCAGAACAACCUCUGCUA 8739-8757  8739 450 UAGCAGAGGUUGUUCUGGN  939 NCCAGAACAACCUCUGCUA 8739-8757  8739 451 NAGCAGAGGUUGUUCUGGU  940 ACCAGAACAACCUCUGCUN 8739-8757  8739 452 NAGCAGAGGUUGUUCUGGN  941 NCCAGAACAACCUCUGCUN 8739-8757  8739 453 GAGCAGAGGUUGUUCUGGU  942 ACCAGAACAACCUCUICUC 8739-8757  8739 454 UAGCAGAGGUUGUUCUGGU  943 ACCAGAACAACCUCUICUA 8739-8757  8739 455 UAGCAGAGGUUGUUCUGGN  944 NCCAGAACAACCUCUICUA 8739-8757  8739 456 NAGCAGAGGUUGUUCUGGU  945 ACCAGAACAACCUCUICUN 8739-8757  8739 457 NAGCAGAGGUUGUUCUGGN  946 NCCAGAACAACCUCUICUN 8739-8757  8739 458 UAGAUUGUGCUGGUUGUAG  947 CUACAACCAGCACAAUCUC 9310-9328  9310 459 UAGAUUGUGCUGGUUGUAG  948 CUACAACCAGCACAAUCUA 9310-9328  9310 460 NAGAUUGUGCUGGUUGUAG  949 CUACAACCAGCACAAUCUN 9310-9328  9310 461 UAGAUUGUGCUGGUUGUAN  950 NUACAACCAGCACAAUCUA 9310-9328  9310 462 NAGAUUGUGCUGGUUGUAN  951 NUACAACCAGCACAAUCUN 9310-9328  9310 463 CAGAAGUUGUGCUGGUUGU  952 ACAACCAGCACAACUUCUG 10206-10224 10206 464 UAGAAGUUGUGCUGGUUGU  953 ACAACCAGCACAACUUCUA 10206-10224 10206 465 NAGAAGUUGUGCUGGUUGU  954 ACAACCAGCACAACUUCUN 10206-10224 10206 466 UAGAAGUUGUGCUGGUUGN  955 NCAACCAGCACAACUUCUA 10206-10224 10206 467 NAGAAGUUGUGCUGGUUGN  956 NCAACCAGCACAACUUCUN 10206-10224 10206 468 CUUGUCACCAAAGUGGUUG  957 CAACCACUUUGGUGACAAG 11014-11032 11014 469 UUUGUCACCAAAGUGGUUG  958 CAACCACUUUGGUGACAAA 11014-11032 11014 470 NUUGUCACCAAAGUGGUUG  959 CAACCACUUUGGUGACAAN 11014-11032 11014 471 UUUGUCACCAAAGUGGUUN  960 NAACCACUUUGGUGACAAA 11014-11032 11014 472 NUUGUCACCAAAGUGGUUN  961 NAACCACUUUGGUGACAAN 11014-11032 11014 473 CAGAGGUUGUGUUGGUUGU  962 ACAACCAACACAACUUCUG 11361-11379 11361 474 UAGAGGUUGUGUUGGUUGU  963 ACAACCAACACAACUUCUA 11361-11379 11361 475 NAGAGGUUGUGUUGGUUGU  964 ACAACCAACACAACUUCUN 11361-11379 11361 476 UAGAGGUUGUGUUGGUUGN  965 NCAACCAACACAACUUCUA 11361-11379 11361 477 NAGAGGUUGUGUUGGUUGN  966 NCAACCAACACAACUUCUN 11361-11379 11361 478 UCUAGUUGUAGGAGCAGAG  967 CUCUGCUCCUACAACUAGA 12965-12983 12965 479 GCUAGUUGUAGGAGCAGAG  968 CUCUGCUCCUACAACUAGC 12965-12983 12965 480 NCUAGUUGUAGGAGCAGAG  969 CUCUGCUCCUACAACUAGN 12965-12983 12965 481 UCUAGUUGUAGGAGCAGAN  970 NUCUGCUCCUACAACUAGA 12965-12983 12965 482 NCUAGUUGUAGGAGCAGAN  971 NUCUGCUCCUACAACUAGN 12965-12983 12965 483 UGGUUCAGGAACACUUCCC  972 GGGAAGUGUUCCUGAACCA 1567-1585  1567 484 NGGUUCAGGAACACUUCCC  973 GGGAAGUGUUCCUGAACCN 1567-1585  1567 485 UGGUUCAGGAACACUUCCN  974 NGGAAGUGUUCCUGAACCA 1567-1585  1567 486 NGGUUCAGGAACACUUCCN  975 NGGAAGUGUUCCUGAACCN 1567-1585  1567 487 UGGUUCAGGAACACUUCCC  976 GGGAAGUGUUCCUIAACCA 1567-1585  1567 488 NGGUUCAGGAACACUUCCC  977 GGGAAGUGUUCCUIAACCN 1567-1585  1567 489 UGGUUCAGGAACACUUCCN  978 NGGAAGUGUUCCUIAACCA 1567-1585  1567 490 NGGUUCAGGAACACUUCCN  979 NGGAAGUGUUCCUIAACCN 1567-1585  1567 491 GAUGUCGUCGAAGUUCCCA  980 UGGGAACUUCGACGACAUC 3155-3173  3155 492 UAUGUCGUCGAAGUUCCCA  981 UGGGAACUUCGACGACAUA 3155-3173  3155 493 NAUGUCGUCGAAGUUCCCA  982 UGGGAACUUCGACGACAUN 3155-3173  3155 494 UAUGUCGUCGAAGUUCCCN  983 NGGGAACUUCGACGACAUA 3155-3173  3155 495 NAUGUCGUCGAAGUUCCCN  984 NGGGAACUUCGACGACAUN 3155-3173  3155 496 GAUGUCGUCGAAGUUCCCA  985 UGGGAACUUCGACIACAUC 3155-3173  3155 497 UAUGUCGUCGAAGUUCCCA  986 UGGGAACUUCGACIACAUA 3155-3173  3155 498 NAUGUCGUCGAAGUUCCCA  987 UGGGAACUUCGACIACAUN 3155-3173  3155 499 UAUGUCGUCGAAGUUCCCN  988 NGGGAACUUCGACIACAUA 3155-3173  3155 500 NAUGUCGUCGAAGUUCCCN  989 NGGGAACUUCGACIACAUN 3155-3173  3155 501 AUUUCUGCCAAGAGGAGGU  990 ACCUCCUCUUGGCAGAAAU 6777-6795  6777 502 AUUUCUGCCAAGAGGAGGN  991 NCCUCCUCUUGGCAGAAAU 6777-6795  6777 503 UUUUCUGCCAAGAGGAGGU  992 ACCUCCUCUUGGCAGAAAA 6777-6795  6777 504 UUUUCUGCCAAGAGGAGGN  993 NCCUCCUCUUGGCAGAAAA 6777-6795  6777 505 NUUUCUGCCAAGAGGAGGN  994 NCCUCCUCUUGGCAGAAAN 6777-6795  6777 506 AUUUCUGCCAAGAGGAGGU  995 ACCUCCUCUUGICAGAAAU 6777-6795  6777 507 AUUUCUGCCAAGAGGAGGN  996 NCCUCCUCUUGICAGAAAU 6777-6795  6777 508 UUUUCUGCCAAGAGGAGGU  997 ACCUCCUCUUGICAGAAAA 6777-6795  6777 509 UUUUCUGCCAAGAGGAGGN  998 NCCUCCUCUUGICAGAAAA 6777-6795  6777 510 NUUUCUGCCAAGAGGAGGN  999 NCCUCCUCUUGICAGAAAN 6777-6795  6777 511 UGUUGUUGAAGAUGAUCUC 1000 GAGAUCAUCUUCAACAACA 15051-15069 15051 512 UGUUGUUGAAGAUGAUCUN 1001 NAGAUCAUCUUCAACAACA 15051-15069 15051 513 NGUUGUUGAAGAUGAUCUC 1002 GAGAUCAUCUUCAACAACN 15051-15069 15051 514 NGUUGUUGAAGAUGAUCUN 1003 NAGAUCAUCUUCAACAACN 15051-15069 15051 515 UGUUGUUGUAGGUUUCCUU 1004 AAGGAAACCUACAACAACA 5346-5364  5346 516 NGUUGUUGUAGGUUUCCUU 1005 AAGGAAACCUACAACAACN 5346-5364  5346 517 UGUUGUUGUAGGUUUCCUN 1006 NAGGAAACCUACAACAACA 5346-5364  5346 518 NGUUGUUGUAGGUUUCCUN 1007 NAGGAAACCUACAACAACN 5346-5364  5346 519 AUCUUGUCCUCAUCAAAGA 1008 UCUUUGAUGAGGACAAGAU 3694-3712  3694 520 AUCUUGUCCUCAUCAAAGN 1009 NCUUUGAUGAGGACAAGAU 3694-3712  3694 521 NUCUUGUCCUCAUCAAAGN 1010 NCUUUGAUGAGGACAAGAN 3694-3712  3694 522 UUCUUGUCCUCAUCAAAGA 1011 UCUUUGAUGAGGACAAGAA 3694-3712  3694 523 UUCUUGUCCUCAUCAAAGN 1012 NCUUUGAUGAGGACAAGAA 3694-3712  3694 524 GCAUCUUGUCCUCAUCAAA 1013 UUUGAUGAGGACAAGAUGC 3696-3714  3696 525 UCAUCUUGUCCUCAUCAAA 1014 UUUGAUGAGGACAAGAUGA 3696-3714  3696 526 UCAUCUUGUCCUCAUCAAN 1015 NUUGAUGAGGACAAGAUGA 3696-3714  3696 527 NCAUCUUGUCCUCAUCAAA 1016 UUUGAUGAGGACAAGAUGN 3696-3714  3696 528 NCAUCUUGUCCUCAUCAAN 1017 NUUGAUGAGGACAAGAUGN 3696-3714  3696 529 GCUAGUUGUAGGAGCAGAG 1018 CUCUGCUCCUACAACUAGC 6998-7016  6998 530 UCUAGUUGUAGGAGCAGAG 1019 CUCUGCUCCUACAACUAGA 6998-7016  6998 531 NCUAGUUGUAGGAGCAGAG 1020 CUCUGCUCCUACAACUAGN 6998-7016  6998 532 UCUAGUUGUAGGAGCAGAN 1021 NUCUGCUCCUACAACUAGA 6998-7016  6998 533 NCUAGUUGUAGGAGCAGAN 1022 NUCUGCUCCUACAACUAGN 6998-7016  6998 534 UAGUUGUAGAAGCAGAGGU 1023 ACCUCUGCUUCUACAACUA 7980-7998  7980 535 NAGUUGUAGAAGCAGAGGU 1024 ACCUCUGCUUCUACAACUN 7980-7998  7980 536 UAGUUGUAGAAGCAGAGGN 1025 NCCUCUGCUUCUACAACUA 7980-7998  7980 537 NAGUUGUAGAAGCAGAGGN 1026 NCCUCUGCUUCUACAACUN 7980-7998  7980 538 CAGAAGUUGUGCUGGUUAU 1027 AUAACCAGCACAACUUCUG 8448-8466  8448 539 UAGAAGUUGUGCUGGUUAU 1028 AUAACCAGCACAACUUCUA 8448-8466  8448 540 NAGAAGUUGUGCUGGUUAU 1029 AUAACCAGCACAACUUCUN 8448-8466  8448 541 UAGAAGUUGUGCUGGUUAN 1030 NUAACCAGCACAACUUCUA 8448-8466  8448 542 NAGAAGUUGUGCUGGUUAN 1031 NUAACCAGCACAACUUCUN 8448-8466  8448 543 CCAACACUGCAGGUGAUGU 1032 ACAUCACCUGCAGUGUUGG 2230-2248  2230 544 UCAACACUGCAGGUGAUGU 1033 ACAUCACCUGCAGUGUUGA 2230-2248  2230 545 NCAACACUGCAGGUGAUGU 1034 ACAUCACCUGCAGUGUUGN 2230-2248  2230 546 UCAACACUGCAGGUGAUGN 1035 NCAUCACCUGCAGUGUUGA 2230-2248  2230 547 NCAACACUGCAGGUGAUGN 1036 NCAUCACCUGCAGUGUUGN 2230-2248  2230 548 CCAACACUGCAGGUGAUGU 1037 ACAUCACCUGCAGUIUUGG 2230-2248  2230 549 UCAACACUGCAGGUGAUGU 1038 ACAUCACCUGCAGUIUUGA 2230-2248  2230 550 NCAACACUGCAGGUGAUGU 1039 ACAUCACCUGCAGUIUUGN 2230-2248  2230 551 UCAACACUGCAGGUGAUGN 1040 NCAUCACCUGCAGUIUUGA 2230-2248  2230 552 NCAACACUGCAGGUGAUGN 1041 NCAUCACCUGCAGUIUUGN 2230-2248  2230 553 CAUCUUGUCCUCAUCAAAG 1042 CUUUGAUGAGGACAAGAUG 3695-3713  3695 554 UAUCUUGUCCUCAUCAAAG 1043 CUUUGAUGAGGACAAGAUA 3695-3713  3695 555 NAUCUUGUCCUCAUCAAAG 1044 CUUUGAUGAGGACAAGAUN 3695-3713  3695 556 UAUCUUGUCCUCAUCAAAN 1045 NUUUGAUGAGGACAAGAUA 3695-3713  3695 557 NAUCUUGUCCUCAUCAAAN 1046 NUUUGAUGAGGACAAGAUN 3695-3713  3695 558 GUCGUGUGGUAGAUGACGU 1047 ACGUCAUCUACCACACGAC 3910-3928  3910 559 UUCGUGUGGUAGAUGACGU 1048 ACGUCAUCUACCACACGAA 3910-3928  3910 560 NUCGUGUGGUAGAUGACGU 1049 ACGUCAUCUACCACACGAN 3910-3928  3910 561 UUCGUGUGGUAGAUGACGN 1050 NCGUCAUCUACCACACGAA 3910-3928  3910 562 NUCGUGUGGUAGAUGACGN 1051 NCGUCAUCUACCACACGAN 3910-3928  3910 563 GUCGUGUGGUAGAUGACGU 1052 ACGUCAUCUACCACACIAC 3910-3928  3910 564 UUCGUGUGGUAGAUGACGU 1053 ACGUCAUCUACCACACIAA 3910-3928  3910 565 NUCGUGUGGUAGAUGACGU 1054 ACGUCAUCUACCACACIAN 3910-3928  3910 566 UUCGUGUGGUAGAUGACGN 1055 NCGUCAUCUACCACACIAA 3910-3928  3910 567 NUCGUGUGGUAGAUGACGN 1056 NCGUCAUCUACCACACIAN 3910-3928  3910

The MUC5AC RNAi agent sense strands and antisense strands that comprise or consist of the nucleotide sequences in Table 2 can be modified nucleotides or unmodified nucleotides. In some embodiments, the MUC5AC RNAi agents having the sense and antisense strand sequences that comprise or consist of any of the nucleotide sequences in Table 2 are all or substantially all modified nucleotides.

In some embodiments, the antisense strand of a MUC5AC RNAi agent disclosed herein comprises at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from any of the antisense strand sequences in Table 2. In some embodiments, the sense strand of a MUC5AC RNAi agent disclosed herein comprises at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from any of the sense strand sequences in Table 2.

As used herein, each N listed in a sequence disclosed in Table 2 may be independently selected from any and all nucleobases (including those found on both modified and unmodified nucleotides). In some embodiments, an N nucleotide listed in a sequence disclosed in Table 2 has a nucleobase that is complementary to the N nucleotide at the corresponding position on the other strand. In some embodiments, an N nucleotide listed in a sequence disclosed in Table 2 has a nucleobase that is not complementary to the N nucleotide at the corresponding position on the other strand. In some embodiments, an N nucleotide listed in a sequence disclosed in Table 2 has a nucleobase that is the same as the N nucleotide at the corresponding position on the other strand. In some embodiments, an N nucleotide listed in a sequence disclosed in Table 2 has a nucleobase that is different from the N nucleotide at the corresponding position on the other strand.

Certain modified MUC5AC RNAi agent sense and antisense strands are provided in Table 3, Table 4, Table 5, Table 6, Table 7, and Table 11. Certain modified MUC5AC RNAi agent antisense strands, as well as their underlying unmodified nucleobase sequences, are provided in Table 3. Certain modified MUC5AC RNAi agent sense strands, as well as their underlying unmodified nucleobase sequences, are provided in Tables 4, 5, and 6. In forming MUC5AC RNAi agents, each of the nucleotides in each of the underlying base sequences listed in Tables 3, 4, 5, 6, and 7, as well as in Table 2, above, can be a modified nucleotide.

The MUC5AC RNAi agents described herein are formed by annealing an antisense strand with a sense strand. A sense strand containing a sequence listed in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11 can be hybridized to any antisense strand containing a sequence listed in Table 2, Table 3, or Table 11, provided the two sequences have a region of at least 85% complementarity over a contiguous 16, 17, 18, 19, 20, or 21 nucleotide sequence.

In some embodiments, a MUC5AC RNAi agent antisense strand comprises a nucleotide sequence of any of the sequences in Table 2 or Table 3.

In some embodiments, a MUC5AC RNAi agent comprises or consists of a duplex having the nucleobase sequences of the sense strand and the antisense strand of any of the sequences in Table 2, Table 3, Table 4, Table 5, Table 6, Table 7, or Table 11.

Examples of antisense strands containing modified nucleotides are provided in Table 3. Examples of sense strands containing modified nucleotides are provided in Tables 4, 5 and 6.

As used in Tables 3, 4, 5, 6, 7, and 11, the following notations are used to indicate modified nucleotides, targeting groups, and linking groups:

-   -   A=adenosine-3′-phosphate     -   C=cytidine-3′-phosphate     -   G=guanosine-3′-phosphate     -   U=uridine-3′-phosphate     -   I=inosine-3′-phosphate     -   a=2′-O-methyladenosine-3′-phosphate     -   as =2′-O-methyladenosine-3′-phosphorothioate     -   c=2′-O-methylcytidine-3′-phosphate     -   cs=2′-O-methylcytidine-3′-phosphorothioate     -   g=2′-O-methylguanosine-3′-phosphate     -   gs=2′-O-methylguanosine-3′-phosphorothioate     -   i=2′-O-methylinosine-3′-phosphate     -   is=2′-O-methylinosine-3′-phosphorothioate     -   t=2′-O-methyl-5-methyluridine-3′-phosphate     -   ts=2′-O-methyl-5-methyluridine-3′-phosphorothioate     -   u=2′-O-methyluridine-3′-phosphate     -   us=2′-O-methyluridine-3′-phosphorothioate     -   Af=2′-fluoroadenosine-3′-phosphate     -   Afs=2′-fluoroadenosine-3′-phosporothioate     -   Cf=2′-fluorocytidine-3′-phosphate     -   Cfs=2′-fluorocytidine-3′-phosphorothioate     -   Gf=2′-fluoroguanosine-3′-phosphate     -   Gfs=2′-fluoroguanosine-3′-phosphorothioate     -   Tf=2′-fluoro-5′-methyluridine-3′-phosphate     -   Tfs=2′-fluoro-5′-methyluridine-3′-phosphorothioate     -   Uf=2′-fluorouridine-3′-phosphate     -   Ufs=2′-fluorouridine-3′-phosphorothioate     -   dT=2′-deoxythymidine-3′-phosphate     -   A_(UNA)=2′,3′-seco-adenosine-3′-phosphate     -   A_(UNAS)=2′,3′-seco-adenosine-3′-phosphorothioate     -   C_(UNA)=2′,3′-seco-cytidine-3′-phosphate     -   C_(UNAS)=2′,3′-seco-cytidine-3′-phosphorothioate     -   G_(UNA)=2′,3′-seco-guanosine-3′-phosphate     -   G_(UNAS)=2′,3′-seco-guanosine-3′-phosphorothioate     -   U_(UNA)=2′,3′-seco-uridine-3′-phosphate     -   U_(UNAS)=2′,3′-seco-uridine-3′-phosphorothioate     -   a_2N=see Table 12     -   a_2Ns=see Table 12     -   (invAb)=inverted abasic deoxyribonucleotide-5′-phosphate, see         Table 12     -   (invAb)s=inverted abasic         deoxyribonucleotide-5′-phosphorothioate, see Table 12     -   s=phosphorothioate linkage     -   p=terminal phosphate (as synthesized)     -   vpdN=vinyl phosphonate deoxyribonucleotide     -   cPrpa=5′-cyclopropyl         phosphonate-2′-O-methyladenosine-3′-phosphate     -   (see Table 12)     -   cPrpas=5′-cyclopropyl         phosphonate-2′-O-methyladenosine-3′-phosphorothioate (see Table         12)     -   cPrpu=5′-cyclopropyl phosphonate-2′-O-methyluridine-3′-phosphate         (see     -   Table 12)     -   cPrpus=5′-cyclopropyl         phosphonate-2′-O-methyluridine-3′-phosphorothioate (see Table         12)     -   (Alk-SS-C6)=see Table 12     -   (C6-SS-Alk)=see Table 12     -   (C6-SS-C6)=see Table 12     -   (6-SS-6)=see Table 12     -   (C6-SS-Alk-Me)=see Table 12     -   (NH2-C6)=see Table 12     -   (TriAlk14)=see Table 12     -   (TriAlk14)s=see Table 12     -   -C6-=see Table 12     -   -C6s-=see Table 12     -   -L6-C6-=see Table 12     -   -L6-C6s-=see Table 12     -   -Alk-cyHex-=see Table 12     -   -Alk-cyHexs-=see Table 12     -   (TA14)=see Table 12 (structure of (TriAlk14)s after conjugation)     -   (TA14)s=see Table 12 (structure of (TriAlk14)s after         conjugation)

As the person of ordinary skill in the art would readily understand, unless otherwise indicated by the sequence (such as, for example, by a phosphorothioate linkage “s”), when present in an oligonucleotide, the nucleotide monomers are mutually linked by 5′-3′-phosphodiester bonds. As the person of ordinary skill in the art would clearly understand, the inclusion of a phosphorothioate linkage as shown in the modified nucleotide sequences disclosed herein replaces the phosphodiester linkage typically present in oligonucleotides. Further, the person of ordinary skill in the art would readily understand that the terminal nucleotide at the 3′ end of a given oligonucleotide sequence would typically have a hydroxyl (—OH) group at the respective 3′ position of the given monomer instead of a phosphate moiety ex vivo. Additionally, for the embodiments disclosed herein, when viewing the respective strand 5′→3′, the inverted abasic residues are inserted such that the 3′ position of the deoxyribose is linked at the 3′ end of the preceding monomer on the respective strand (see. e.g., Table 12). Moreover, as the person of ordinary skill would readily understand and appreciate, while the phosphorothioate chemical structures depicted herein typically show the anion on the sulfur atom, the inventions disclosed herein encompass all phosphorothioate tautomers (e.g., where the sulfur atom has a double-bond and the anion is on an oxygen atom). Unless expressly indicated otherwise herein, such understandings of the person of ordinary skill in the art are used when describing the MUC5AC RNAi agents and compositions of MUC5AC RNAi agents disclosed herein.

Certain examples of targeting groups and linking groups used with the MUC5AC RNAi agents disclosed herein are included in the chemical structures provided below in Table 12. Each sense strand and/or antisense strand disclosed herein can have any targeting groups or linking groups listed herein, as well as other targeting or linking groups, conjugated to the 5′ and/or 3′ end of the sequence.

TABLE 3 MUC5AC RNAi Agent Antisense Strand Sequences SEQ Underlying Base Sequence SEQ AS ID (5′→3′) (Shown as an Un- ID Strand ID Modified Antisense Strand (5′→3′) NO. modified Nucleotide Sequence) NO. AM10579-AS usUfsusGfaUfgGfcCfuUfgGfaGfcAfgGfsu 1057 UUUGAUGGCCUUGGAGCAGGU 1517 AM10581-AS asAfsusCfuUfgAfuGfgCfcUfuGfgAfgCfsa 1058 AAUCUUGAUGGCCUUGGAGCA 1518 AM10583-AS usUfsusGfaAfcUfcGfgGfgCfuGfaGfgUfsu 1059 UUUGAACUCGGGGCUGAGGUU 1519 AM10585-AS usGfsasUfgCfuGfcAfcUfgCfuUfcUfgGfsg 1060 UGAUGCUGCACUGCUUCUGGG 1520 AM10587-AS usUfsasGfuCfgCfaGfaAfcAfgAfgGfgCfsa 1061 UUAGUCGCAGAACAGAGGGCA 1521 AM10589-AS asGfsusAfgUfcGfcAfgAfaCfaGfaGfgGfsc 1062 AGUAGUCGCAGAACAGAGGGC 1522 AM10591-AS usUfsasGfuAfgUfcGfcAfgAfaCfaGfaGfsg 1063 UUAGUAGUCGCAGAACAGAGG 1523 AM10593-AS usGfsusAfgUfaGfuCfgCfaGfaAfcAfgAfsg 1064 UGUAGUAGUCGCAGAACAGAG 1524 AM10595-AS usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1065 UUGUAGUAGUCGCAGAACAGC 1525 AM10597-AS asUfsasGfuUfgUfaGfcAfgAfuGfgGfuGfsg 1066 AUAGUUGUAGCAGAUGGGUGG 1526 AM10599-AS usUfscsCfaCfgUfcGfaAfcCfaCfuUfuGfsc 1067 UUCCACGUCGAACCACUUUGC 1527 AM10601-AS usAfsasGfuCfcAfcGfuCfgAfaCfcAfcUfsc 1068 UAAGUCCACGUCGAACCACUC 1528 AM10603-AS usGfsgsAfaGfuCfcAfcGfuCfgAfaCfcAfsc 1069 UGGAAGUCCACGUCGAACCAC 1529 AM10605-AS usGfsgsAfaGfU_(UNA)CfcAfcGfuCfgAfaCfcAfsc 1070 UGGAAGUCCACGUCGAACCAC 1529 AM10739-AS cPrpasAfsgsGfuCfuUfgUfaGfuGfgAfaGfcUfsg 1071 AAGGUCUUGUAGUGGAAGCUG 1530 AM10741-AS cPrpasAfsgsGfuCfU_(UNA)UfgUfaGfuGfgAfaGfcUf 1072 AAGGUCUUGUAGUGGAAGCUG 1530 sg AM10743-AS cPrpusAfscsCfaGfuGfcUfgAfgCfaUfaCfuUfsc 1073 UACCAGUGCUGAGCAUACUUC 1531 AM10744-AS cPrpusAfscsCfaGfU_(UNA)GfcUfgAfgCfaUfaCfuUf 1074 UACCAGUGCUGAGCAUACUUC 1531 sc AM10747-AS cPrpusUfsusGfaAfgguguUfgAfaGfaAfgGfsc 1075 UUUGAAGGUGUUGAAGAAGGC 1532 AM10764-AS asGfsasUfgCfuGfgUfcUfuCfuUfgUfcCfsc 1076 AGAUGCUGGUCUUCUUGUCCC 1533 AM10766-AS usGfsusUfgAfuGfaAfgAfuGfcUfgGfuCfsc 1077 UGUUGAUGAAGAUGCUGGUCC 1534 AM10768-AS usUfscsUfuGfuUfcAfgGfcAfaAfuCfaGfsc 1078 UUCUUGUUCAGGCAAAUCAGC 1535 AM10770-AS asUfsgsUfuGfuUfgUfaGfgUfuUfcCfuUfsg 1079 AUGUUGUUGUAGGUUUCCUUG 1536 AM10772-AS asUfsgsAfuGfuUfgUfuGfuAfgGfuUfuCfsc 1080 AUGAUGUUGUUGUAGGUUUCC 1537 AM10790-AS usUfsgsAfuGfaAfgAfuGfcUfgGfuCfuUfsc 1081 UUGAUGAAGAUGCUGGUCUUC 1538 AM10792-AS usGfsasUfcUfgGfuAfgUfuGfuAfgCfaGfsc 1082 UGAUCUGGUAGUUGUAGCAGC 1539 AM10794-AS usCfscsUfgAfuCfuGfgUfaGfuUfgUfaGfsc 1083 UCCUGAUCUGGUAGUUGUAGC 1540 AM10796-AS usAfsgsUfuGfuAfgCfaGfaUfgGfgUfgGfsg 1084 UAGUUGUAGCAGAUGGGUGGG 1541 AM10798-AS usCfsasAfcAfcUfgGfaUfgCfgGfaUfcUfsc 1085 UCAACACUGGAUGCGGAUCUC 1542 AM10800-AS usUfsgsUfuCfgAfuGfcUfcAfcCfuCfuGfsg 1086 UUGUUCGAUGCUCACCUCUGG 1543 AM10802-AS usAfsusCfuUfgAfaGfgGfuCfcCfuGfcUfsg 1087 UAUCUUGAAGGGUCCCUGCUG 1544 AM10804-AS usCfsgsUfaGfuUfgAfgGfcAfcAfuCfuUfsg 1088 UCGUAGUUGAGGCACAUCUUG 1545 AM10806-AS usCfsusCfgUfaGfuUfgAfgGfcAfcAfuCfsc 1089 UCUCGUAGUUGAGGCACAUCC 1546 AM10808-AS asAfsgsGfuCfuUfgUfaGfuGfgAfaGfcUfsg 1090 AAGGUCUUGUAGUGGAAGCUG 1530 AM10810-AS usUfsusCfaGfgCfaGfgUfcUfcGfcUfgUfsc 1091 UUUCAGGCAGGUCUCGCUGUC 1547 AM10812-AS usUfscsUfgAfaGfaUfgGfuGfaCfgUfuGfsg 1092 UUCUGAAGAUGGUGACGUUGG 1548 AM10814-AS usGfsusCfuGfaAfgAfuGfgUfgAfcGfuUfsg 1093 UGUCUGAAGAUGGUGACGUUG 1549 AM10816-AS usGfsgsAfaGfU_(UNA)CfaUfcGfgCfcUfgGfaUfsg 1094 UGGAAGUCAUCGGCCUGGAUG 1550 AM10818-AS usUfsusGfaAfgguguUfgAfaGfaAfgGfsc 1095 UUUGAAGGUGUUGAAGAAGGC 1532 AM10821-AS usGfscsAfgUfuCfgAfgUfaGfuAfgGfuUfsc 1096 UGCAGUUCGAGUAGUAGGUUC 1551 AM10823-AS usUfsusGfgAfgCfaGfgUfgGfuCfcCfuGfsu 1097 UUUGGAGCAGGUGGUCCCUGU 1552 AM10825-AS usCfsusUfgAfuGfgCfcUfuGfgAfgCfaGfsg 1098 UCUUGAUGGCCUUGGAGCAGG 1553 AM10827-AS usUfsgsUfcAfuCfgUfgGfuUfcCfaCfaUfsg 1099 UUGUCAUCGUGGUUCCACAUG 1554 AM10829-AS asCfsasGfaAfgCfaGfaGfgUfcUfuGfcCfsu 1100 ACAGAAGCAGAGGUCUUGCCU 1555 AM10831-AS usCfsasGfuUfgGfuGfcAfgUfcUfgUfgGfsa 1101 UCAGUUGGUGCAGUCUGUGGA 1556 AM10833-AS usCfsasGfuAfcAfgUfgAfaGfgCfaCfuGfsc 1102 UCAGUACAGUGAAGGCACUGC 1557 AM10835-AS usGfscsUfgUfuGfaAfgUfuCfcCfaCfaGfsc 1103 UGCUGUUGAAGUUCCCACAGC 1558 AM10837-AS usGfsasUfgCfuGfuUfgAfaGfuUfcCfcAfsc 1104 UGAUGCUGUUGAAGUUCCCAC 1559 AM10839-AS usGfsgsUfcUfuGfaAfgGfuGfuUfgAfaGfsc 1105 UGGUCUUGAAGGUGUUGAAGC 1560 AM10841-AS asAfsgsCfuGfuUfcCfuGfaUfgUfuGfgGfsg 1106 AAGCUGUUCCUGAUGUUGGGG 1561 AM10843-AS asCfsasUfgCfaGfuUfcGfaGfuAfgUfaGfsg 1107 ACAUGCAGUUCGAGUAGUAGG 1562 AM10845-AS usAfsasGfcCfaAfcAfcUfgCfaGfgUfgAfsc 1108 UAAGCCAACACUGCAGGUGAC 1563 AM10847-AS usUfsgsUfaAfcAfgGfuCfaUfgUfcCfaGfsc 1109 UUGUAACAGGUCAUGUCCAGC 1564 AM10849-AS usCfsgsUfuGfaAfgCfuGfuAfgCfuCfuGfsc 1110 UCGUUGAAGCUGUAGCUCUGC 1565 AM11065-AS usAfscsCfaGfU_(UNA)GfcUfgAfgCfaUfaCfuUfsc 1111 UACCAGUGCUGAGCAUACUUC 1531 AM11264-AS cPrpusGfsgsAfuCfuCfaUfaGfuUfgUfaGfcAfsg 1112 UGGAUCUCAUAGUUGUAGCAG 1566 AM11266-AS cPrpusGfsgsAfuCfU_(UNA)CfaUfaGfuUfgUfaGfcAf 1113 UGGAUCUCAUAGUUGUAGCAG 1566 sg AM11268-AS cPrpusGfsusCfaAfaCfcAfcUfuGfgUfcCfaGfsg 1114 UGUCAAACCACUUGGUCCAGG 1567 AM11271-AS cPrpusUfsgsUfuGfuUfgAfaGfaUfgAfuCfuCfsg 1115 UUGUUGUUGAAGAUGAUCUCG 1568 AM11272-AS cPrpusUfsgsUfuguugaaGfaUfgAfucucsg 1116 UUGUUGUUGAAGAUGAUCUCG 1568 AM11275-AS usAfsgsUfaCfaGfuGfaAfgGfcAfcUfgCfsu 1117 UAGUACAGUGAAGGCACUGCU 1569 AM11277-AS usUfscsGfaAfgCfuGfuUfcCfuGfaUfgUfsc 1118 UUCGAAGCUGUUCCUGAUGUC 1570 AM11279-AS usCfsusUfgUfuCfaGfgCfaAfaUfcAfgCfsc 1119 UCUUGUUCAGGCAAAUCAGCC 1571 AM11281-AS usCfsasCfcAfaAfgUfgGfuUfgUfcCfuGfsg 1120 UCACCAAAGUGGUUGUCCUGG 1572 AM11283-AS usAfsgsCfaGfaGfgUfuGfuUfcUfgGfuUfsg 1121 UAGCAGAGGUUGUUCUGGUUG 1573 AM11285-AS usAfsgsAfuUfgUfgCfuGfgUfuGfuAfgCfsg 1122 UAGAUUGUGCUGGUUGUAGCG 1574 AM11287-AS usAfsgsAfaGfuUfgUfgCfuGfgUfuGfuGfsg 1123 UAGAAGUUGUGCUGGUUGUGG 1575 AM11289-AS usUfsusGfuCfaCfcAfaAfgUfgGfuUfgUfsc 1124 UUUGUCACCAAAGUGGUUGUC 1576 AM11291-AS usAfsgsAfgGfuUfgUfgUfuGfgUfuGfuAfsg 1125 UAGAGGUUGUGUUGGUUGUAG 1577 AM11293-AS usCfsusAfgUfuGfuAfgGfaGfcAfgAfgGfsu 1126 UCUAGUUGUAGGAGCAGAGGU 1578 AM11401-AS cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1127 UUGUAGUAGUCGCAGAACAGC 1525 AM11403-AS usUfsgsUfaGfuAfgUfcAfcAfgAfaCfaGfsc 1128 UUGUAGUAGUCACAGAACAGC 1579 AM11404-AS cPrpusUfsgsUfaGfuAfgUfcAfcAfgAfaCfaGfsc 1129 UUGUAGUAGUCACAGAACAGC 1579 AM11405-AS cPrpusUfsgsuaguagucAfcAfgAfacagsc 1130 UUGUAGUAGUCACAGAACAGC 1579 AM11462-AS cPrpusCfsasuaguuguaGfcAfcAfugggsu 1131 UCAUAGUUGUAGCACAUGGGU 1580 AM11464-AS cPrpusGfsusUfgUfuGfaAfgAfuGfaUfcUfgGfsu 1132 UGUUGUUGAAGAUGAUCUGGU 1581 AM11465-AS cPrpusGfsusuguugaagAfuGfaUfcuggsu 1133 UGUUGUUGAAGAUGAUCUGGU 1581 AM11467-AS cPrpusGfsusUfgAfaGfuUfaCfcAfcAfgAfgCfsc 1134 UGUUGAAGUUACCACAGAGCC 1582 AM11469-AS cPrpusAfscsUfuUfuCfaUfuCfuCfcAfcGfcUfsc 1135 UACUUUUCAUUCUCCACGCUC 1583 AM11471-AS cPrpusAfsgsCfaUfaCfuUfuUfcAfuUfcUfcCfsc 1136 UAGCAUACUUUUCAUUCUCCC 1584 AM11473-AS cPrpusCfsasUfaCfaUfgCfaGfuUfcGfaGfaAfsg 1137 UCAUACAUGCAGUUCGAGAAG 1585 AM11475-AS cPrpusGfsusCfaUfaCfaUfgCfaGfuUfcGfaGfsc 1138 UGUCAUACAUGCAGUUCGAGC 1586 AM11477-AS cPrpusUfsgsUfcAfuAfcAfuGfcAfgUfuCfgAfsg 1139 UUGUCAUACAUGCAGUUCGAG 1587 AM11479-AS cPrpusUfsasGfuAfgUfcAfcAfgAfaCfaGfuGfsg 1140 UUAGUAGUCACAGAACAGUGG 1588 AM11481-AS cPrpusGfsusAfgUfaGfuCfaCfaGfaAfcAfgUfsg 1141 UGUAGUAGUCACAGAACAGUG 1589 AM11495-AS cPrpusUfsgsUfaGfuAfgUfcicAfgAfaCfaGfsc 1142 UUGUAGUAGUCICAGAACAGC 1590 AM11496-AS cPrpusUfsgsUfaGfuAfgUfcgcAfgAfaCfaGfsc 1143 UUGUAGUAGUCGCAGAACAGC 1525 AM11498-AS asCfsasUfgCfaGfuUfcGfaGfaAfgAfaGfsg 1144 ACAUGCAGUUCGAGAAGAAGG 1591 AM11499-AS cPrpasCfsasUfgCfaGfuUfcGfaGfaAfgAfaGfsg 1145 ACAUGCAGUUCGAGAAGAAGG 1591 AM11740-AS cPrpasUfsasGfuUfgUfaGfcAfcAfuGfgGfuGfsg 1146 AUAGUUGUAGCACAUGGGUGG 1592 AM11741-AS cPrpasUfsasguuguagcAfcAfuGfggugsg 1147 AUAGUUGUAGCACAUGGGUGG 1592 AM11742-AS cPrpusGfsgsaucucauaGfuUfgUfagcasg 1148 UGGAUCUCAUAGUUGUAGCAG 1566 AM11745-AS cPrpusUfsgsuuguugaaGfaUfgAfucucsg 1149 UUGUUGUUGAAGAUGAUCUCG 1568 AM11821-AS cPrpusGfsusAfguagucaCfaGfaAfcagusg 1150 UGUAGUAGUCACAGAACAGUG 1589 AM11823-AS cPrpusGfsusaguagucaCfaGfaAfcagusg 1151 UGUAGUAGUCACAGAACAGUG 1589 AM11825-AS cPrpusGfsusaguagucaCfaGfaAfcagusc 1152 UGUAGUAGUCACAGAACAGUG 1593 AM11971-AS usGfsgsUfuCfaGfgAfaCfaCfuUfcCfcCfsa 1153 UGGUUCAGGAACACUUCCCCA 1594 AM11973-AS usCfsasAfcAfcUfgCfaGfgUfgAfuGfuCfsc 1154 UCAACACUGCAGGUGAUGUCC 1595 AM11975-AS usAfsusGfuCfgUfcGfaAfgUfuCfcCfaCfsa 1155 UAUGUCGUCGAAGUUCCCACA 1596 AM11977-AS usAfsusCfuUfgUfcCfuCfaUfcAfaAfgAfsc 1156 UAUCUUGUCCUCAUCAAAGAC 1597 AM11979-AS usUfscsGfuGfuGfgUfaGfaUfgAfcGfuCfsc 1157 UUCGUGUGGUAGAUGACGUCC 1598 AM11982-AS asUfsusUfcUfgCfcAfaGfaGfgAfgGfuGfsc 1158 AUUUCUGCCAAGAGGAGGUGC 1599 AM11984-AS usGfsusUfgUfuGfaAfgAfuGfaUfcUfcGfsu 1159 UGUUGUUGAAGAUGAUCUCGU 1600 AM11986-AS usUfsgsUfuguugaaGfaUfgAfucucsg 1160 UUGUUGUUGAAGAUGAUCUCG 1568 AM12158-AS usGfsusUfgUfuGfuAfgGfuUfuCfcUfuGfsc 1161 UGUUGUUGUAGGUUUCCUUGC 1601 AM12159-AS cPrpusGfsusUfgUfuGfuAfgGfuUfuCfcUfuGfsc 1162 UGUUGUUGUAGGUUUCCUUGC 1601 AM12161-AS usGfsusuguuguagGfuUfuCfcuugsc 1163 UGUUGUUGUAGGUUUCCUUGC 1601 AM12162-AS cPrpusGfsusuguuguagGfuUfuCfcuugsc 1164 UGUUGUUGUAGGUUUCCUUGC 1601 AM12163-AS cPrpusUfscsUfuGfuUfcAfgGfcAfaAfuCfaGfsc 1165 UUCUUGUUCAGGCAAAUCAGC 1535 AM12165-AS usUfscsuuguucagGfcAfaAfucagsc 1166 UUCUUGUUCAGGCAAAUCAGC 1535 AM12166-AS cPrpusUfscsuuguucagGfcAfaAfucagsc 1167 UUCUUGUUCAGGCAAAUCAGC 1535 AM12167-AS cPrpusUfscsuugU_(UNA)UcagGfcAfaAfucagsc 1168 UUCUUGUUCAGGCAAAUCAGC 1535 AM12169-AS cPrpusCfsusUfgUfuCfaGfgCfaAfaUfcAfgCfsc 1169 UCUUGUUCAGGCAAAUCAGCC 1571 AM12171-AS usCfsusuguucaggCfaAfaUfcagcsc 1170 UCUUGUUCAGGCAAAUCAGCC 1571 AM12172-AS cPrpusCfsusuguucaggCfaAfaUfcagcsc 1171 UCUUGUUCAGGCAAAUCAGCC 1571 AM12173-AS cPrpusGfsusUfgAfuGfaAfgAfuGfcUfgGfuCfsc 1172 UGUUGAUGAAGAUGCUGGUCC 1534 AM12175-AS usGfsusugaugaagAfuGfcUfggucsc 1173 UGUUGAUGAAGAUGCUGGUCC 1534 AM12176-AS cPrpusGfsusugaugaagAfuGfcUfggucsc 1174 UGUUGAUGAAGAUGCUGGUCC 1534 AM12177-AS cPrpusGfsusugaU_(UNA)gaagAfuGfcUfggucsc 1175 UGUUGAUGAAGAUGCUGGUCC 1534 AM12178-AS cPrpusUfsgsUfugU_(UNA)UgaaGfaUfgAfucucsg 1176 UUGUUGUUGAAGAUGAUCUCG 1568 AM12180-AS cPrpusUfsgsUfuguU_(UNA)gaaGfaUfgAfucucsg 1177 UUGUUGUUGAAGAUGAUCUCG 1568 AM12181-AS cPrpusUfsgsUfU_(UNA)guugaaGfaUfgAfucucsg 1178 UUGUUGUUGAAGAUGAUCUCG 1568 AM12182-AS cPrpusUfsgsiuguugaaGfaUfgAfucucsg 1179 UUGIUGUUGAAGAUGAUCUCG 1602 AM12189-AS asUfscsUfuGfuCfcUfcAfuCfaAfaGfaUfsg 1180 AUCUUGUCCUCAUCAAAGAUG 1603 AM12191-AS usCfsasUfcUfuGfuCfcUfcAfuCfaAfaGfsc 1181 UCAUCUUGUCCUCAUCAAAGC 1604 AM12193-AS usCfsusAfgUfuGfuAfgGfaGfcAfgAfgAfsc 1182 UCUAGUUGUAGGAGCAGAGAC 1605 AM12195-AS usAfsgsUfuGfuAfgAfaGfcAfgAfgGfuUfsg 1183 UAGUUGUAGAAGCAGAGGUUG 1606 AM12197-AS usAfsgsAfaGfuUfgUfgCfuGfgUfuAfuAfsg 1184 UAGAAGUUGUGCUGGUUAUAG 1607 AM12516-AS usUfsgsuaguagucGfcAfgAfacagsc 1185 UUGUAGUAGUCGCAGAACAGC 1525 AM12519-AS usUfsgsuagU_(UNA)agucGfcAfgAfacagsc 1186 UUGUAGUAGUCGCAGAACAGC 1525 AM12608-AS usUfscsuuguucagGfcAfaAfucagsg 1187 UUCUUGUUCAGGCAAAUCAGG 1608 AM12609-AS usUfscsuuGfuucagGfcAfaAfucagsc 1188 UUCUUGUUCAGGCAAAUCAGC 1535 AM12610-AS usUfscsUfuguucagGfcAfaAfucagsc 1189 UUCUUGUUCAGGCAAAUCAGC 1535 AM12611-AS usUfscsuuguU_(UNA)cagGfcAfaAfucagsc 1190 UUCUUGUUCAGGCAAAUCAGC 1535 AM12612-AS cPrpuUfcuuguucagGfcAfaAfucagsc 1191 UUCUUGUUCAGGCAAAUCAGC 1535 AM08569-AS usGfsgsAfuCfuCfaUfaGfuUfgUfaGfcAfsg 1716 UGGAUCUCAUAGUUGUAGCAG 1566 AM07104-AS usUfsgsUfuGfuUfgAfaGfaUfgAfuCfuCfsg 1717 UUGUUGUUGAAGAUGAUCUCG 1568

TABLE 4 MUC5AC Agent Sense Strand Sequences (Shown Without Linkers, Conjugates, or Capping Moieties) SEQ Underlying Base Sequence  SEQ Modified ID (5′→3′) (Shown as an Un- ID Strand ID Sense Strand (5′→3′) NO. modified Nucleotide Sequence) NO. AM10578-SS-NL asccugcucCfAfAfgiccaucaaa 1192 ACCUGCUCCAAGICCAUCAAA 1609 AM10580-SS-NL usgcuccaaGfGfCfcaucaagauu 1193 UGCUCCAAGGCCAUCAAGAUU 1610 AM10582-SS-NL asaccucagCfUfCfcgaguucaaa 1194 AACCUCAGCUCCGAGUUCAAA 1611 AM10584-SS-NL csccagaagCfAfGfugcaicauca 1195 CCCAGAAGCAGUGCAICAUCA 1612 AM10586-SS-NL usgcccucuGfUfUfcugciacuaa 1196 UGCCCUCUGUUCUGCIACUAA 1613 AM10588-SS-NL gscccucugUfUfCfuicgacuacu 1197 GCCCUCUGUUCUICGACUACU 1614 AM10590-SS-NL cscucuguuCfUfGfcgacuacuaa 1198 CCUCUGUUCUGCGACUACUAA 1615 AM10592-SS-NL csucuguucUfGfCfgacuacuaca 1199 CUCUGUUCUGCGACUACUACA 1616 AM10594-SS-NL gscuguucuGfCfGfacuacuacaa 1200 GCUGUUCUGCGACUACUACAA 1617 AM10596-SS-NL cscacccauCfUfGfcuacaacuau 1201 CCACCCAUCUGCUACAACUAU 1618 AM10598-SS-NL gscaaagugGfUfUfcgaciuggaa 1202 GCAAAGUGGUUCGACIUGGAA 1619 AM10600-SS-NL gsagugguuCfGfAfcgugiacuua 1203 GAGUGGUUCGACGUGIACUUA 1620 AM10602-SS-NL gsugguucgAfCfGfugiacuucca 1204 GUGGUUCGACGUGIACUUCCA 1621 AM10604-SS-NL gsugguucgAfCfGfuggacuucca 1205 GUGGUUCGACGUGGACUUCCA 1622 AM10738-SS-NL csagcuuccAfCfUfacaaiaccuu 1206 CAGCUUCCACUACAAIACCUU 1623 AM10740-SS-NL csagcuuccAfCfUfacaagaccuu 1207 CAGCUUCCACUACAAGACCUU 1624 AM10742-SS-NL gsa_2NaguaugCfUfCfagcacugiua 1208 G(A^(2N))AGUAUGCUCAGCACUGIUA 1625 AM10745-SS-NL gsa_2NaguaugCfUfCfaguacugiua 1209 G(A^(2N))AGUAUGCUCAGUACUGIUA 1626 AM10746-SS-NL gsccuucuuCfAfAfcaccuucaaa 1210 GCCUUCUUCAACACCUUCAAA 1627 AM10748-SS-NL gsccuucuuCfAfAfcaucuucaaa 1211 GCCUUCUUCAACAUCUUCAAA 1628 AM10749-SS-NL gsccuucuuCfAfAfcacuuucaaa 1212 GCCUUCUUCAACACUUUCAAA 1629 AM10763-SS-NL gsggacaagAfAfGfaccaicaucu 1213 GGGACAAGAAGACCAICAUCU 1630 AM10765-SS-NL gsgaccagcAfUfCfuucaucaaca 1214 GGACCAGCAUCUUCAUCAACA 1631 AM10767-SS-NL gscugauuuGfCfCfugaacaagaa 1215 GCUGAUUUGCCUGAACAAGAA 1632 AM10769-SS-NL csa_2NaggaaaCfCfUfacaacaacau 1216 C(A^(2N))AGGAAACCUACAACAACAU 1633 AM10771-SS-NL gsgaaaccuAfCfAfacaacaucau 1217 GGAAACCUACAACAACAUCAU 1634 AM10789-SS-NL gsa_2NagaccaGfCfAfucuucaucaa 1218 G(A^(2N))AGACCAGCAUCUUCAUCAA 1635 AM10791-SS-NL gscugcuacAfAfCfuaccaiauca 1219 GCUGCUACAACUACCAIAUCA 1636 AM10793-SS-NL gscuacaacUfAfCfcagaucaiga 1220 GCUACAACUACCAGAUCAIGA 1637 AM10795-SS-NL csccacccaUfCfUfgcuacaacua 1221 CCCACCCAUCUGCUACAACUA 1638 AM10797-SS-NL gsagauccgCfAfUfccaguiuuga 1222 GAGAUCCGCAUCCAGUIUUGA 1639 AM10799-SS-NL cscagagguGfAfGfcauciaacaa 1223 CCAGAGGUGAGCAUCIAACAA 1640 AM10801-SS-NL csagcagggAfCfCfcuucaagaua 1224 CAGCAGGGACCCUUCAAGAUA 1641 AM10803-SS-NL csa_2NagauguGfCfCfucaacuacia 1225 C(A^(2N))AGAUGUGCCUCAACUACIA 1642 AM10805-SS-NL gsgaugugcCfUfCfaacuaciaga 1226 GGAUGUGCCUCAACUACIAGA 1643 AM10807-SS-NL csagcuuccAfCfUfacaaiaccuu 1227 CAGCUUCCACUACAAIACCUU 1623 AM10809-SS-NL gsacagcgaGfAfCfcugcuugaaa 1228 GACAGCGAGACCUGCUUGAAA 1644 AM10811-SS-NL cscaacgucAfCfCfaucuucagaa 1229 CCAACGUCACCAUCUUCAGAA 1645 AM10813-SS-NL csa_2NacgucaCfCfAfucuucaiaca 1230 C(A^(2N))ACGUCACCAUCUUCAIACA 1646 AM10815-SS-NL csauccaggCfCfGfaugacuucca 1231 CAUCCAGGCCGAUGACUUCCA 1647 AM10817-SS-NL gsccuucuuCfAfAfcaccuucaaa 1232 GCCUUCUUCAACACCUUCAAA 1627 AM10819-SS-NL gsa_2NaguaugCfUfCfagcacugiua 1233 G(A^(2N))AGUAUGCUCAGCACUGIUA 1625 AM10820-SS-NL gsa_2NaccuacUfAfCfucgaacuica 1234 G(A^(2N))ACCUACUACUCGAACUICA 1648 AM10822-SS-NL ascagggacCfAfCfcugcuucaaa 1235 ACAGGGACCACCUGCUUCAAA 1649 AM10824-SS-NL cscugcuccAfAfGfgcuaucaaga 1236 CCUGCUCCAAGGCUAUCAAGA 1650 AM10826-SS-NL csa_2NuguggaAfCfCfacgauiacaa 1237 C(A^(2N))UGUGGAACCACGAUIACAA 1651 AM10828-SS-NL asggcaagaCfCfUfcugcuucuiu 1238 AGGCAAGACCUCUGCUUCUIU 1652 AM10830-SS-NL usccacagaCfUfGfcaccaacuia 1239 UCCACAGACUGCACCAACUIA 1653 AM10832-SS-NL gscagugccUfUfCfacuguacuia 1240 GCAGUGCCUUCACUGUACUIA 1654 AM10834-SS-NL gscugugggAfAfCfuucaacaica 1241 GCUGUGGGAACUUCAACAICA 1655 AM10836-SS-NL gsugggaacUfUfCfaacaicauca 1242 GUGGGAACUUCAACAICAUCA 1656 AM10838-SS-NL gscuucaacAfCfCfuucaaiacca 1243 GCUUCAACACCUUCAAIACCA 1657 AM10840-SS-NL cscccaacaUfCfAfggaacaicuu 1244 CCCCAACAUCAGGAACAICUU 1658 AM10842-SS-NL cscuacuacUfCfGfaacuicaugu 1245 CCUACUACUCGAACUICAUGU 1659 AM10844-SS-NL gsucaccugCfAfGfuguugicuua 1246 GUCACCUGCAGUGUUGICUUA 1660 AM10846-SS-NL gscuggacaUfGfAfccuguuacaa 1247 GCUGGACAUGACCUGUUACAA 1661 AM10848-SS-NL gscagagcuAfCfAfgcuucaacia 1248 GCAGAGCUACAGCUUCAACIA 1662 AM11066-SS-NL gsa_2NaguaugCfUfCfaguacugiua 1249 G(A^(2N))AGUAUGCUCAGUACUGIUA 1626 AM11263-SS-NL csugcuacaAfCfUfaugagaucca 1250 CUGCUACAACUAUGAGAUCCA 1663 AM11265-SS-NL csugcuacaAfCfUfaugaiaucca 1251 CUGCUACAACUAUGAIAUCCA 1664 AM11267-SS-NL cscuggaccAfAfGfugguuugaca 1252 CCUGGACCAAGUGGUUUGACA 1665 AM11269-SS-NL cscuggaccAfAfGfugguuuiaca 1253 CCUGGACCAAGUGGUUUIACA 1666 AM11270-SS-NL csgagaucaUfCfUfucaacaacaa 1254 CGAGAUCAUCUUCAACAACAA 1667 AM11274-SS-NL asgcagugcCfUfUfcacuguacua 1255 AGCAGUGCCUUCACUGUACUA 1668 AM11276-SS-NL gsacaucagGfAfAfcagcuuciaa 1256 GACAUCAGGAACAGCUUCIAA 1669 AM11278-SS-NL gsgcugauuUfGfCfcugaacaaga 1257 GGCUGAUUUGCCUGAACAAGA 1670 AM11280-SS-NL cscaggacaAfCfCfacuuuiguga 1258 CCAGGACAACCACUUUIGUGA 1671 AM11282-SS-NL csaaccagaAfCfAfaccucuicua 1259 CAACCAGAACAACCUCUICUA 1672 AM11284-SS-NL csgcuacaaCfCfAfgcacaaucua 1260 CGCUACAACCAGCACAAUCUA 1673 AM11286-SS-NL cscacaaccAfGfCfacaacuucua 1261 CCACAACCAGCACAACUUCUA 1674 AM11288-SS-NL gsacaaccaCfUfUfuggugacaaa 1262 GACAACCACUUUGGUGACAAA 1675 AM11290-SS-NL csuacaaccAfAfCfacaacuucua 1263 CUACAACCAACACAACUUCUA 1676 AM11292-SS-NL asccucugcUfCfCfuacaacuaga 1264 ACCUCUGCUCCUACAACUAGA 1677 AM11400-SS-NL gscuguucuGfCfGfacuacuacaa 1265 GCUGUUCUGCGACUACUACAA 1617 AM11402-SS-NL gscuguucuGfUfGfacuacuacaa 1266 GCUGUUCUGUGACUACUACAA 1678 AM11463-SS-NL asccagaucAfUfCfuucaacaaca 1267 ACCAGAUCAUCUUCAACAACA 1679 AM11466-SS-NL gsgcucuguGfGfUfaacuucaaca 1268 GGCUCUGUGGUAACUUCAACA 1680 AM11468-SS-NL gsagcguggAfGfAfaugaaaagua 1269 GAGCGUGGAGAAUGAAAAGUA 1681 AM11470-SS-NL gsggagaauGfAfAfaaguaugcua 1270 GGGAGAAUGAAAAGUAUGCUA 1682 AM11472-SS-NL csuucucgaAfCfUfgcauguauga 1271 CUUCUCGAACUGCAUGUAUGA 1683 AM11474-SS-NL gscucgaacUfGfCfauguaugaca 1272 GCUCGAACUGCAUGUAUGACA 1684 AM11476-SS-NL csucgaacuGfCfAfuguaugacaa 1273 CUCGAACUGCAUGUAUGACAA 1685 AM11478-SS-NL cscacuguuCfUfGfugacuacuaa 1274 CCACUGUUCUGUGACUACUAA 1686 AM11480-SS-NL csacuguucUfGfUfgacuacuaca 1275 CACUGUUCUGUGACUACUACA 1687 AM11497-SS-NL cscuucuucUfCfGfaacuicaugu 1276 CCUUCUUCUCGAACUICAUGU 1688 AM11739-SS-NL cscacccauGfUfGfcuacaacuau 1277 CCACCCAUGUGCUACAACUAU 1689 AM11743-SS-NL csugcuaCfaAfcUfaugaiaucca 1278 CUGCUACAACUAUGAIAUCCA 1664 AM11744-SS-NL csgagauCfaUfcUfucaacaacaa 1279 CGAGAUCAUCUUCAACAACAA 1667 AM11822-SS-NL csacuguUfcUfgUfgacuacuaca 1280 CACUGUUCUGUGACUACUACA 1687 AM11824-SS-NL gsacuguUfcUfgUfgacuacuaca 1281 GACUGUUCUGUGACUACUACA 1690 AM11970-SS-NL usggggaagUfGfUfuccuiaacca 1282 UGGGGAAGUGUUCCUIAACCA 1691 AM11972-SS-NL gsgacaucaCfCfUfgcaguiuuga 1283 GGACAUCACCUGCAGUIUUGA 1692 AM11974-SS-NL usgugggaaCfUfUfcgaciacaua 1284 UGUGGGAACUUCGACIACAUA 1693 AM11976-SS-NL gsucuuugaUfGfAfggacaagaua 1285 GUCUUUGAUGAGGACAAGAUA 1694 AM11978-SS-NL gsgacgucaUfCfUfaccacaciaa 1286 GGACGUCAUCUACCACACIAA 1695 AM11980-SS-NL csugcuacaAfCfUfaugaiaucca 1287 CUGCUACAACUAUGAIAUCCA 1664 AM11981-SS-NL gscaccuccUfCfUfugicagaaau 1288 GCACCUCCUCUUGICAGAAAU 1696 AM11983-SS-NL ascgagaucAfUfCfuucaacaaca 1289 ACGAGAUCAUCUUCAACAACA 1697 AM11985-SS-NL csgagaucaUfCfUfucaacaacaa 1290 CGAGAUCAUCUUCAACAACAA 1667 AM12157-SS-NL gscaaggaaAfCfCfuacaacaaca 1291 GCAAGGAAACCUACAACAACA 1698 AM12160-SS-NL gscaaggAfaAfcCfuacaacaaca 1292 GCAAGGAAACCUACAACAACA 1698 AM12164-SS-NL gscugauUfuGfcCfugaacaagaa 1293 GCUGAUUUGCCUGAACAAGAA 1632 AM12168-SS-NL gscugauUfuGfcCfuga_2Nacaagaa 1294 GCUGAUUUGCCUG(A^(2N))ACAAGAA 1699 AM12170-SS-NL gsgcugaUfuUfgCfcugaacaaga 1295 GGCUGAUUUGCCUGAACAAGA 1670 AM12174-SS-NL gsgaccaGfcAfuCfuucaucaaca 1296 GGACCAGCAUCUUCAUCAACA 1631 AM12179-SS-NL csgagaucaUfCfUfuca_2Nacaacaa 1297 CGAGAUCAUCUUC(A^(2N))ACAACAA 1700 AM12188-SS-NL csaucuuugAfUfGfaggacaagau 1298 CAUCUUUGAUGAGGACAAGAU 1701 AM12190-SS-NL gscuuugauGfAfGfgacaagauga 1299 GCUUUGAUGAGGACAAGAUGA 1702 AM12192-SS-NL gsucucugcUfCfCfuacaacuaga 1300 GUCUCUGCUCCUACAACUAGA 1703 AM12194-SS-NL csaaccucuGfCfUfucuacaacua 1301 CAACCUCUGCUUCUACAACUA 1704 AM12196-SS-NL csua_2NuaaccAfGfCfacaacuucua 1302 CU(A^(2N))UAACCAGCACAACUUCUA 1705 AM12198-SS-NL csuauaaccAfGfCfacaacuucua 1303 CUAUAACCAGCACAACUUCUA 1706 AM12515-SS-NL gscuguucuGfcGfaCfuacuacaa 1304 GCUGUUCUGCGACUACUACAA 1617 AM12517-SS-NL gscuguuCfuGfcGfacuacuacaa 1305 GCUGUUCUGCGACUACUACAA 1617 AM12518-SS-NL gscuguucuGfcGfacuacuacaa 1306 GCUGUUCUGCGACUACUACAA 1617 AM12520-SS-NL gscuguuuuGfcGfacuacuacaa 1307 GCUGUUUUGCGACUACUACAA 1707 AM12521-SS-NL gscuguucuGfcGfauuacuacaa 1308 GCUGUUCUGCGAUUACUACAA 1708 AM12522-SS-NL gscuguucuGfcGfacuauuacaa 1309 GCUGUUCUGCGACUAUUACAA 1709 AM12523-SS-NL gscuguucuGfcGfAfcuacuacaa 1310 GCUGUUCUGCGACUACUACAA 1617 AM12605-SS-NL gscugauuuGfcCfugaacaagaa 1311 GCUGAUUUGCCUGAACAAGAA 1632 AM12606-SS-NL gscugauuuGfcCfuGfaacaagaa 1312 GCUGAUUUGCCUGAACAAGAA 1632 AM12607-SS-NL cscugauUfuGfcCfugaacaagaa 1313 CCUGAUUUGCCUGAACAAGAA 1710 AM12715-SS-NL csgagaucaUfCfUfucaacaacaa 1314 CGAGAUCAUCUUCAACAACAA 1667 AM13074-SS-NL gscugauUfuGfcCfugaacaagaa 1315 GCUGAUUUGCCUGAACAAGAA 1632 AM14080-SS-NL gscuguucuGfCfGfacuacuacaa 1316 GCUGUUCUGCGACUACUACAA 1617 AM14081-SS-NL gscugguucuGfCfGfacuacuacaa 1317 GCUGGUUCUGCGACUACUACAA 1711 AM14084-SS-NL gscguucuGfCfGfacuacuacaa 1318 GCGUUCUGCGACUACUACAA 1712 (A^(2N)) = 2-aminoadenine-containing nucleotide; 1 = hypoxanthine (inosine) nucleotide **For the constructs in Table 4 above, a capping moiety, such as for example, (InvAb) or s(InvAb), or a conjugate is typically located at the 3′ end of the modified sense strand sequence shown (see, e.g., Table 5, below).

TABLE 5 MUC5AC Agent Sense Strand Sequences (Shown With TriAlk14 Linker (see Table 12 for structure information)). Underlying Base Sequence (5′ → 3′) SEQ (Shown as   SEQ ID an Unmodified ID Strand ID Modified Sense Strand (5′ → 3′) NO. Nucleotide Sequence) NO. AM10578-SS (TriAlk14)accugcucCfAfAfgiccaucaaas(invAb) 1319 ACCUGCUCCAAGICCAUCAAA 1609 AM10580-SS (TriAlk14)ugcuccaaGfGfCfcaucaagauus(invAb) 1320 UGCUCCAAGGCCAUCAAGAUU 1610 AM10582-SS (TriAlk14)aaccucagCfUfCfcgaguucaaas(invAb) 1321 AACCUCAGCUCCGAGUUCAAA 1611 AM10584-SS (TriAlk14)cccagaagCfAfGfugcaicaucas(invAb) 1322 CCCAGAAGCAGUGCAICAUCA 1612 AM10586-SS (TriAlk14)ugcccucuGfUfUfcugciacuaas(invAb) 1323 UGCCCUCUGUUCUGCIACUAA 1613 AM10588-SS (TriAlk14)gcccucugUfUfCfuicgacuacus(invAb) 1324 GCCCUCUGUUCUICGACUACU 1614 AM10590-SS (TriAlk14)ccucuguuCfUfGfcgacuacuaas(invAb) 1325 CCUCUGUUCUGCGACUACUAA 1615 AM10592-SS (TriAlk14)cucuguucUfGfCfgacuacuacas(invAb) 1326 CUCUGUUCUGCGACUACUACA 1616 AM10594-SS (TriAlk14)gcuguucuGfCfGfacuacuacaas(invAb) 1327 GCUGUUCUGCGACUACUACAA 1617 AM10596-SS (TriAlk14)ccacccauCfUfGfcuacaacuaus(invAb) 1328 CCACCCAUCUGCUACAACUAU 1618 AM10598-SS (TriAlk14)gcaaagugGfUfUfcgaciuggaas(invAb) 1329 GCAAAGUGGUUCGACIUGGAA 1619 AM10600-SS (TriAlk14)gagugguuCfGfAfcgugiacuuas(invAb) 1330 GAGUGGUUCGACGUGIACUUA 1620 AM10602-SS (TriAlk14)gugguucgAfCfGfugiacuuccas(invAb) 1331 GUGGUUCGACGUGIACUUCCA 1621 AM10604-SS (TriAlk14)gugguucgAfCfGfuggacuuccas(invAb) 1332 GUGGUUCGACGUGGACUUCCA 1622 AM10738-SS (TriAlk14)csagcuuccAfCfUfacaaiaccuus(invAb) 1333 CAGCUUCCACUACAAIACCUU 1623 AM10740-SS (TriAlk14)csagcuuccAfCfUfacaagaccuus(invAb) 1334 CAGCUUCCACUACAAGACCUU 1624 AM10742-SS (TriAlk14)gsa_2NaguaugCfUfCfagcacugiuas(invAb) 1335 G(A^(2N))AGUAUGCUCAGCACUGIUA 1625 AM10745-SS (TriAlk14)gsa_2NaguaugCfUfCfaguacugiuas(invAb) 1336 G(A^(2N))AGUAUGCUCAGUACUGIUA 1626 AM10746-SS (TriAlk14)gsccuucuuCfAfAfcaccuucaaas(invAb) 1337 GCCUUCUUCAACACCUUCAAA 1627 AM10748-SS (TriAlk14)gsccuucuuCfAfAfcaucuucaaas(invAb) 1338 GCCUUCUUCAACAUCUUCAAA 1628 AM10749-SS (TriAlk14)gsccuucuuCfAfAfcacuuucaaas(invAb) 1339 GCCUUCUUCAACACUUUCAAA 1629 AM10763-SS (TriAlk14)gggacaagAfAfGfaccaicaucus(invAb) 1340 GGGACAAGAAGACCAICAUCU 1630 AM10765-SS (TriAlk14)ggaccagcAfUfCfuucaucaacas(invAb) 1341 GGACCAGCAUCUUCAUCAACA 1631 AM10767-SS (TriAlk14)gcugauuuGfCfCfugaacaagaas(invAb) 1342 GCUGAUUUGCCUGAACAAGAA 1632 AM10769-SS (TriAlk14)ca_2NaggaaaCfCfUfacaacaacaus(invAb) 1343 C(A^(2N))AGGAAACCUACAACAACAU 1633 AM10771-SS (TriAlk14)ggaaaccuAfCfAfacaacaucaus(invAb) 1344 GGAAACCUACAACAACAUCAU 1634 AM10789-SS (TriAlk14)ga_2NagaccaGfCfAfucuucaucaas(invAb) 1345 G(A^(2N))AGACCAGCAUCUUCAUCAA 1635 AM10791-SS (TriAlk14)gcugcuacAfAfCfuaccaiaucas(invAb) 1346 GCUGCUACAACUACCAIAUCA 1636 AM10793-SS (TriAlk14)gcuacaacUfAfCfcagaucaigas(invAb) 1347 GCUACAACUACCAGAUCAIGA 1637 AM10795-SS (TriAlk14)cccacccaUfCfUfgcuacaacuas(invAb) 1348 CCCACCCAUCUGCUACAACUA 1638 AM10797-SS (TriAlk14)gagauccgCfAfUfccaguiuugas(invAb) 1349 GAGAUCCGCAUCCAGUIUUGA 1639 AM10799-SS (TriAlk14)ccagagguGfAfGfcauciaacaas(invAb) 1350 CCAGAGGUGAGCAUCIAACAA 1640 AM10801-SS (TriAlk14)cagcagggAfCfCfcuucaagauas(invAb) 1351 CAGCAGGGACCCUUCAAGAUA 1641 AM10803-SS (TriAlk14)ca_2NagauguGfCfCfucaacuacias(invAb) 1352 C(A^(2N))AGAUGUGCCUCAACUACIA 1642 AM10805-SS (TriAlk14)ggaugugcCfUfCfaacuaciagas(invAb) 1353 GGAUGUGCCUCAACUACIAGA 1643 AM10807-SS (TriAlk14)cagcuuccAfCfUfacaaiaccuus(invAb) 1354 CAGCUUCCACUACAAIACCUU 1623 AM10809-SS (TriAlk14)gacagcgaGfAfCfcugcuugaaas(invAb) 1355 GACAGCGAGACCUGCUUGAAA 1644 AM10811-SS (TriAlk14)ccaacgucAfCfCfaucuucagaas(invAb) 1356 CCAACGUCACCAUCUUCAGAA 1645 AM10813-SS (TriAlk14)ca_2NacgucaCfCfAfucuucaiacas(invAb) 1357 C(A^(2N))ACGUCACCAUCUUCAIACA 1646 AM10815-SS (TriAlk14)cauccaggCfCfGfaugacuuccas(invAb) 1358 CAUCCAGGCCGAUGACUUCCA 1647 AM10817-SS (TriAlk14)gccuucuuCfAfAfcaccuucaaas(invAb) 1359 GCCUUCUUCAACACCUUCAAA 1627 AM10819-SS (TriAlk14)ga_2NaguaugCfUfCfagcacugiuas(invAb) 1360 G(A^(2N))AGUAUGCUCAGCACUGIUA 1625 AM10820-SS (TriAlk14)ga_2NaccuacUfAfCfucgaacuicas(invAb) 1361 G(A^(2N))ACCUACUACUCGAACUICA 1648 AM10822-SS (TriAlk14)acagggacCfAfCfcugcuucaaas(invAb) 1362 ACAGGGACCACCUGCUUCAAA 1649 AM10824-SS (TriAlk14)ccugcuccAfAfGfgcuaucaagas(invAb) 1363 CCUGCUCCAAGGCUAUCAAGA 1650 AM10826-SS (TriAlk14)ca_2NuguggaAfCfCfacgauiacaas(invAb) 1364 C(A^(2N))UGUGGAACCACGAUIACAA 1651 AM10828-SS (TriAlk14)aggcaagaCfCfUfcugcuucuius(invAb) 1365 AGGCAAGACCUCUGCUUCUIU 1652 AM10830-SS (TriAlk14)uccacagaCfUfGfcaccaacuias(invAb) 1366 UCCACAGACUGCACCAACUIA 1653 AM10832-SS (TriAlk14)gcagugccUfUfCfacuguacuias(invAb) 1367 GCAGUGCCUUCACUGUACUIA 1654 AM10834-SS (TriAlk14)gcugugggAfAfCfuucaacaicas(invAb) 1368 GCUGUGGGAACUUCAACAICA 1655 AM10836-SS (TriAlk14)gugggaacUfUfCfaacaicaucas(invAb) 1369 GUGGGAACUUCAACAICAUCA 1656 AM10838-SS (TriAlk14)gcuucaacAfCfCfuucaaiaccas(invAb) 1370 GCUUCAACACCUUCAAIACCA 1657 AM10840-SS (TriAlk14)ccccaacaUfCfAfggaacaicuus(invAb) 1371 CCCCAACAUCAGGAACAICUU 1658 AM10842-SS (TriAlk14)ccuacuacUfCfGfaacuicaugus(invAb) 1372 CCUACUACUCGAACUICAUGU 1659 AM10844-SS (TriAlk14)gucaccugCfAfGfuguugicuuas(invAb) 1373 GUCACCUGCAGUGUUGICUUA 1660 AM10846-SS (TriAlk14)gcuggacaUfGfAfccuguuacaas(invAb) 1374 GCUGGACAUGACCUGUUACAA 1661 AM10848-SS (TriAlk14)gcagagcuAfCfAfgcuucaacias(invAb) 1375 GCAGAGCUACAGCUUCAACIA 1662 AM11066-SS (TriAlk14)ga_2NaguaugCfUfCfaguacugiuas(invAb) 1376 G(A^(2N))AGUAUGCUCAGUACUGIUA 1626 AM11263-SS (TriAlk14)csugcuacaAfCfUfaugagauccas(invAb) 1377 CUGCUACAACUAUGAGAUCCA 1663 AM11265-SS (TriAlk14)csugcuacaAfCfUfaugaiauccas(invAb) 1378 CUGCUACAACUAUGAIAUCCA 1664 AM11267-SS (TriAlk14)cscuggaccAfAfGfugguuugacas(invAb) 1379 CCUGGACCAAGUGGUUUGACA 1665 AM11269-SS (TriAlk14)cscuggaccAfAfGfugguuuiacas(invAb) 1380 CCUGGACCAAGUGGUUUIACA 1666 AM11270-SS (TriAlk14)csgagaucaUfCfUfucaacaacaas(invAb) 1381 CGAGAUCAUCUUCAACAACAA 1667 AM11274-SS (TriAlk14)agcagugcCfUfUfcacuguacuas(invAb) 1382 AGCAGUGCCUUCACUGUACUA 1668 AM11276-SS (TriAlk14)gacaucagGfAfAfcagcuuciaas(invAb) 1383 GACAUCAGGAACAGCUUCIAA 1669 AM11278-SS (TriAlk14)ggcugauuUfGfCfcugaacaagas(invAb) 1384 GGCUGAUUUGCCUGAACAAGA 1670 AM11280-SS (TriAlk14)ccaggacaAfCfCfacuuuigugas(invAb) 1385 CCAGGACAACCACUUUIGUGA 1671 AM11282-SS (TriAlk14)caaccagaAfCfAfaccucuicuas(invAb) 1386 CAACCAGAACAACCUCUICUA 1672 AM11284-SS (TriAlk14)cgcuacaaCfCfAfgcacaaucuas(invAb) 1387 CGCUACAACCAGCACAAUCUA 1673 AM11286-SS (TriAlk14)ccacaaccAfGfCfacaacuucuas(invAb) 1388 CCACAACCAGCACAACUUCUA 1674 AM11288-SS (TriAlk14)gacaaccaCfUfUfuggugacaaas(invAb) 1389 GACAACCACUUUGGUGACAAA 1675 AM11290-SS (TriAlk14)cuacaaccAfAfCfacaacuucuas(invAb) 1390 CUACAACCAACACAACUUCUA 1676 AM11292-SS (TriAlk14)accucugcUfCfCfuacaacuagas(invAb) 1391 ACCUCUGCUCCUACAACUAGA 1677 AM11400-SS (TriAlk14)gscuguucuGfCfGfacuacuacaas(invAb) 1392 GCUGUUCUGCGACUACUACAA 1617 AM11402-SS (TriAlk14)gscuguucuGfUfGfacuacuacaas(invAb) 1393 GCUGUUCUGUGACUACUACAA 1678 AM11463-SS (TriAlk14)asccagaucAfUfCfuucaacaacas(invAb) 1394 ACCAGAUCAUCUUCAACAACA 1679 AM11466-SS (TriAlk14)gsgcucuguGfGfUfaacuucaacas(invAb) 1395 GGCUCUGUGGUAACUUCAACA 1680 AM11468-SS (TriAlk14)gsagcguggAfGfAfaugaaaaguas(invAb) 1396 GAGCGUGGAGAAUGAAAAGUA 1681 AM11470-SS (TriAlk14)gsggagaauGfAfAfaaguaugcuas(invAb) 1397 GGGAGAAUGAAAAGUAUGCUA 1682 AM11472-SS (TriAlk14)csuucucgaAfCfUfgcauguaugas(invAb) 1398 CUUCUCGAACUGCAUGUAUGA 1683 AM11474-SS (TriAlk14)gscucgaacUfGfCfauguaugacas(invAb) 1399 GCUCGAACUGCAUGUAUGACA 1684 AM11476-SS (TriAlk14)csucgaacuGfCfAfuguaugacaas(invAb) 1400 CUCGAACUGCAUGUAUGACAA 1685 AM11478-SS (TriAlk14)cscacuguuCfUfGfugacuacuaas(invAb) 1401 CCACUGUUCUGUGACUACUAA 1686 AM11480-SS (TriAlk14)csacuguucUfGfUfgacuacuacas(invAb) 1402 CACUGUUCUGUGACUACUACA 1687 AM11497-SS (TriAlk14)cscuucuucUfCfGfaacuicaugus(invAb) 1403 CCUUCUUCUCGAACUICAUGU 1688 AM11739-SS (TriAlk14)cscacccauGfUfGfcuacaacuaus(invAb) 1404 CCACCCAUGUGCUACAACUAU 1689 AM11743-SS (TriAlk14)csugcuaCfaAfcUfaugaiauccas(invAb) 1405 CUGCUACAACUAUGAIAUCCA 1664 AM11744-SS (TriAlk14)csgagauCfaUfcUfucaacaacaas(invAb) 1406 CGAGAUCAUCUUCAACAACAA 1667 AM11822-SS (TriAlk14)csacuguUfcUfgUfgacuacuacas(invAb) 1407 CACUGUUCUGUGACUACUACA 1687 AM11824-SS (TriAlk14)gsacuguUfcUfgUfgacuacuacas(invAb) 1408 GACUGUUCUGUGACUACUACA 1690 AM11970-SS (TriAlk14)uggggaagUfGfUfuccuiaaccas(invAb) 1409 UGGGGAAGUGUUCCUIAACCA 1691 AM11972-SS (TriAlk14)ggacaucaCfCfUfgcaguiuugas(invAb) 1410 GGACAUCACCUGCAGUIUUGA 1692 AM11974-SS (TriAlk14)ugugggaaCfUfUfcgaciacauas(invAb) 1411 UGUGGGAACUUCGACIACAUA 1693 AM11976-SS (TriAlk14)gucuuugaUfGfAfggacaagauas(invAb) 1412 GUCUUUGAUGAGGACAAGAUA 1694 AM11978-SS (TriAlk14)ggacgucaUfCfUfaccacaciaas(invAb) 1413 GGACGUCAUCUACCACACIAA 1695 AM11980-SS (TriAlk14)cugcuacaAfCfUfaugaiauccas(invAb) 1414 CUGCUACAACUAUGAIAUCCA 1664 AM11981-SS (TriAlk14)gcaccuccUfCfUfugicagaaaus(invAb) 1415 GCACCUCCUCUUGICAGAAAU 1696 AM11983-SS (TriAlk14)acgagaucAfUfCfuucaacaacas(invAb) 1416 ACGAGAUCAUCUUCAACAACA 1697 AM11985-SS (TriAlk14)cgagaucaUfCfUfucaacaacaas(invAb) 1417 CGAGAUCAUCUUCAACAACAA 1667 AM12157-SS (TriAlk14)gcaaggaaAfCfCfuacaacaacas(invAb) 1418 GCAAGGAAACCUACAACAACA 1698 AM12160-SS (TriAlk14)gcaaggAfaAfcCfuacaacaacas(invAb) 1419 GCAAGGAAACCUACAACAACA 1698 AM12164-SS (TriAlk14)gcugauUfuGfcCfugaacaagaas(invAb) 1420 GCUGAUUUGCCUGAACAAGAA 1632 AM12168-SS (TriAlk14)gcugauUfuGfcCfuga_2Nacaagaas(invAb) 1421 GCUGAUUUGCCUG(A^(2N))ACAAGAA 1699 AM12170-SS (TriAlk14)ggcugaUfuUfgCfcugaacaagas(invAb) 1422 GGCUGAUUUGCCUGAACAAGA 1670 AM12174-SS (TriAlk14)ggaccaGfcAfuCfuucaucaacas(invAb) 1423 GGACCAGCAUCUUCAUCAACA 1631 AM12179-SS (TriAlk14)csgagaucaUfCfUfuca_2Nacaacaas(invAb) 1424 CGAGAUCAUCUUC(A^(2N))ACAACAA 1700 AM12188-SS (TriAlk14)caucuuugAfUfGfaggacaagaus(invAb) 1425 CAUCUUUGAUGAGGACAAGAU 1701 AM12190-SS (TriAlk14)gcuuugauGfAfGfgacaagaugas(invAb) 1426 GCUUUGAUGAGGACAAGAUGA 1702 AM12192-SS (TriAlk14)gucucugcUfCfCfuacaacuagas(invAb) 1427 GUCUCUGCUCCUACAACUAGA 1703 AM12194-SS (TriAlk14)caaccucuGfCfUfucuacaacuas(invAb) 1428 CAACCUCUGCUUCUACAACUA 1704 AM12196-SS (TriAlk14)cua_2NuaaccAfGfCfacaacuucuas(invAb) 1429 CU(A^(2N))UAACCAGCACAACUUCUA 1705 AM12198-SS (TriAlk14)cuauaaccAfGfCfacaacuucuas(invAb) 1430 CUAUAACCAGCACAACUUCUA 1706 AM12515-SS (TriAlk14)gcuguucuGfcGfaCfuacuacaas(invAb) 1431 GCUGUUCUGCGACUACUACAA 1617 AM12517-SS (TriAlk14)gcuguuCfuGfcGfacuacuacaas(invAb) 1432 GCUGUUCUGCGACUACUACAA 1617 AM12518-SS (TriAlk14)gcuguucuGfcGfacuacuacaas(invAb) 1433 GCUGUUCUGCGACUACUACAA 1617 AM12520-SS (TriAlk14)gcuguuuuGfcGfacuacuacaas(invAb) 1434 GCUGUUUUGCGACUACUACAA 1707 AM12521-SS (TriAlk14)gcuguucuGfcGfauuacuacaas(invAb) 1435 GCUGUUCUGCGAUUACUACAA 1708 AM12522-SS (TriAlk14)gcuguucuGfcGfacuauuacaas(invAb) 1436 GCUGUUCUGCGACUAUUACAA 1709 AM12523-SS (TriAlk14)gcuguucuGfcGfAfcuacuacaas(invAb) 1437 GCUGUUCUGCGACUACUACAA 1617 AM12605-SS (TriAlk14)gcugauuuGfcCfugaacaagaas(invAb) 1438 GCUGAUUUGCCUGAACAAGAA 1632 AM12606-SS (TriAlk14)gcugauuuGfcCfuGfaacaagaas(invAb) 1439 GCUGAUUUGCCUGAACAAGAA 1632 AM12607-SS (TriAlk14)ccugauUfuGfcCfugaacaagaas(invAb) 1440 CCUGAUUUGCCUGAACAAGAA 1710 AM13074-SS (TriAlk14)gscugauUfuGfcCfugaacaagaas(invAb) 1441 GCUGAUUUGCCUGAACAAGAA 1632 AM14080-SS (TriAlk14)gscuguucuGfCfGfacuacuacaa(invAb) 1442 GCUGUUCUGCGACUACUACAA 1617 AM14081-SS (TriAlk14)gscugguucuGfCfGfacuacuacaas(invAb) 1443 GCUGGUUCUGCGACUACUACAA 1711 AM14084-SS (TriAlk14)gscguucuGfCfGfacuacuacaas(invAb) 1444 GCGUUCUGCGACUACUACAA 1712 (A^(2N)) = 2-aminoadenine-containing nucleotide; I = hypoxanthine (inosine) nucleotide

TABLE 6 Nucleotide Sequences With End Caps Shown For Certain MUC5AC RNAi Agents Tested In Vitro. Underlying Base Sequence (5′ → 3′) SEQ (Shown as SEQ ID an Unmodified ID Strand ID Modified Sense Strand (5′ → 3′) NO. Nucleotide Sequence) NO. AM10594-SS-S (invAb)sgcuguucuGfCfGfacuacuacaas(invAb) 1445 GCUGUUCUGCGACUACUACAA 1617 AM10600-SS-S (invAb)sgagugguuCfGfAfcgugiacuuas(invAb) 1446 GAGUGGUUCGACGUGIACUUA 1620 AM10765-SS-S (invAb)sggaccagcAfUfCfuucaucaacas(invAb) 1447 GGACCAGCAUCUUCAUCAACA 1631 AM10767-SS-S (invAb)sgcugauuuGfCfCfugaacaagaas(invAb) 1448 GCUGAUUUGCCUGAACAAGAA 1632 AM10769-SS-S (invAb)sca_2NaggaaaCfCfUfacaacaacaus(invAb) 1449 C(A^(2N))AGGAAACCUACAACAACAU 1633 AM10771-SS-S (invAb)sggaaaccuAfCfAfacaacaucaus(invAb) 1450 GGAAACCUACAACAACAUCAU 1634 AM10791-SS-S (invAb)sgcugcuacAfAfCfuaccaiaucas(invAb) 1451 GCUGCUACAACUACCAIAUCA 1636 AM10793-SS-S (invAb)sgcuacaacUfAfCfcagaucaigas(invAb) 1452 GCUACAACUACCAGAUCAIGA 1637 AM10795-SS-S (invAb)scccacccaUfCfUfgcuacaacuas(invAb) 1453 CCCACCCAUCUGCUACAACUA 1638 AM10797-SS-S (invAb)sgagauccgCfAfUfccaguiuugas(invAb) 1454 GAGAUCCGCAUCCAGUIUUGA 1639 AM10799-SS-S (invAb)sccagagguGfAfGfcauciaacaas(invAb) 1455 CCAGAGGUGAGCAUCIAACAA 1640 AM10801-SS-S (invAb)scagcagggAfCfCfcuucaagauas(invAb) 1456 CAGCAGGGACCCUUCAAGAUA 1641 AM10803-SS-S (invAb)sca_2NagauguGfCfCfucaacuacias(invAb) 1457 C(A^(2N))AGAUGUGCCUCAACUACIA 1642 AM10813-SS-S (invAb)sca_2NacgucaCfCfAfucuucaiacas(invAb) 1458 C(A^(2N))ACGUCACCAUCUUCAIACA 1646 AM10820-SS-S (invAb)sga_2NaccuacUfAfCfucgaacuicas(invAb) 1459 G(A^(2N))ACCUACUACUCGAACUICA 1648 AM10826-SS-S (invAb)sca_2NuguggaAfCfCfacgauiacaas(invAb) 1460 C(A^(2N))UGUGGAACCACGAUIACAA 1651 AM10828-SS-S (invAb)saggcaagaCfCfUfcugcuucuius(invAb) 1461 AGGCAAGACCUCUGCUUCUIU 1652 AM10832-SS-S (invAb)sgcagugccUfUfCfacuguacuias(invAb) 1462 GCAGUGCCUUCACUGUACUIA 1654 AM10836-SS-S (invAb)sgugggaacUfUfCfaacaicaucas(invAb) 1463 GUGGGAACUUCAACAICAUCA 1656 AM10840-SS-S (invAb)sccccaacaUfCfAfggaacaicuus(invAb) 1464 CCCCAACAUCAGGAACAICUU 1658 AM10842-SS-S (invAb)sccuacuacUfCfGfaacuicaugus(invAb) 1465 CCUACUACUCGAACUICAUGU 1659 AM10844-SS-S (invAb)sgucaccugCfAfGfuguugicuuas(invAb) 1466 GUCACCUGCAGUGUUGICUUA 1660 AM10846-SS-S (invAb)sgcuggacaUfGfAfccuguuacaas(invAb) 1467 GCUGGACAUGACCUGUUACAA 1661 AM10848-SS-S (invAb)sgcagagcuAfCfAfgcuucaacias(invAb) 1468 GCAGAGCUACAGCUUCAACIA 1662 AM11274-SS-S (invAb)sagcagugcCfUfUfcacuguacuas(invAb) 1469 AGCAGUGCCUUCACUGUACUA 1668 AM11276-SS-S (invAb)sgacaucagGfAfAfcagcuuciaas(invAb) 1470 GACAUCAGGAACAGCUUCIAA 1669 AM11278-SS-S (invAb)sggcugauuUfGfCfcugaacaagas(invAb) 1471 GGCUGAUUUGCCUGAACAAGA 1670 AM11280-SS-S (invAb)sccaggacaAfCfCfacuuuigugas(invAb) 1472 CCAGGACAACCACUUUIGUGA 1671 AM11286-SS-S (invAb)sccacaaccAfGfCfacaacuucuas(invAb) 1473 CCACAACCAGCACAACUUCUA 1674 AM11288-SS-S (invAb)sgacaaccaCfUfUfuggugacaaas(invAb) 1474 GACAACCACUUUGGUGACAAA 1675 AM11292-SS-S (invAb)saccucugcUfCfCfuacaacuagas(invAb) 1475 ACCUCUGCUCCUACAACUAGA 1677 AM11978-SS-S (invAb)sggacgucaUfCfUfaccacaciaas(invAb) 1476 GGACGUCAUCUACCACACIAA 1695 AM11980-SS-S (invAb)scugcuacaAfCfUfaugaiauccas(invAb) 1477 CUGCUACAACUAUGAIAUCCA 1664 AM11983-SS-S (invAb)sacgagaucAfUfCfuucaacaacas(invAb) 1478 ACGAGAUCAUCUUCAACAACA 1697 AM11985-SS-S (invAb)scgagaucaUfCfUfucaacaacaas(invAb) 1479 CGAGAUCAUCUUCAACAACAA 1667 AM12164-SS-S (invAb)sgcugauUfuGfcCfugaacaagaas(invAb) 1480 GCUGAUUUGCCUGAACAAGAA 1632 AM12168-SS-S (invAb)sgcugauUfuGfcCfuga_2Nacaagaas(invAb) 1481 GCUGAUUUGCCUG(AN)ACAAGAA 1699 AM12170-SS-S (invAb)sggcugaUfuUfgCfcugaacaagas(invAb) 1482 GGCUGAUUUGCCUGAACAAGA 1670 (A^(2N)) = 2-aminoadenine-containing nucleotide; I = hypoxanthine (inosine) nucleotide

TABLE 7 MUC5AC Agent Sense Strand Sequences (Shown with Targeting Ligand Conjugate. The structure of αvβ6-SM6.1 is shown in Table 12, and the structure of Tri-SM6.1- αvβ6-(TA14) is shown in FIG. 1.) Corresponding Sense Strand AM Number Without SEQ Linker or Strand ID Conjugate ID Modified Sense Strand (5′ → 3′) NO. (See Table 4) CS000387 Tri-SM6.1-avb6-(TA14)gsa_2NaguaugCfUfCfaguacugiuas(invAb) 1483 AM10745-SS CS000517 Tri-SM6.1-avb6-(TA14)ascccauguGfCfUfacaacuaugas(invAb) 1484 AM09492-SS CS000519 Tri-SM6.1-avb6-(TA14)cscauacagCfAfGfuacaguuacas(invAb) 1485 AM09657-SS CS000521 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugagauccas(invAb) 1486 AM11263-SS CS000523 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugaiauccas(invAb) 1487 AM11265-SS CS000525 Tri-SM6.1-avb6-(TA14)cscuggaccAfAfGfugguuugacas(invAb) 1488 AM11267-SS CS000527 Tri-SM6.1-avb6-(TA14)cscuggaccAfAfGfugguuuiacas(invAb) 1489 AM11269-SS CS000528 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 AM11270-SS CS000578 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaas(invAb) 1491 AM11400-SS CS000583 Tri-SM6.1-avb6-(TA14)gscuguucuGfUfGfacuacuacaas(invAb) 1492 AM11402-SS CS000608 Tri-SM6.1-avb6-(TA14)asccagaucAfUfCfuucaacaacas(invAb) 1493 AM11463-SS CS000612 Tri-SM6.1-avb6-(TA14)gsgcucuguGfGfUfaacuucaacas(invAb) 1494 AM11466-SS CS000614 Tri-SM6.1-avb6-(TA14)gsagcguggAfGfAfaugaaaaguas(invAb) 1495 AM11468-SS CS000616 Tri-SM6.1-avb6-(TA14)gsggagaauGfAfAfaaguaugcuas(invAb) 1496 AM11470-SS CS000618 Tri-SM6.1-avb6-(TA14)csuucucgaAfCfUfgcauguaugas(invAb) 1497 AM11472-SS CS000620 Tri-SM6.1-avb6-(TA14)gscucgaacUfGfCfauguaugacas(invAb) 1498 AM11474-SS CS000622 Tri-SM6.1-avb6-(TA14)csucgaacuGfCfAfuguaugacaas(invAb) 1499 AM11476-SS CS000624 Tri-SM6.1-avb6-(TA14)cscacuguuCfUfGfugacuacuaas(invAb) 1500 AM11478-SS CS000626 Tri-SM6.1-avb6-(TA14)csacuguucUfGfUfgacuacuacas(invAb) 1501 AM11480-SS CS000665 Tri-SM6.1-avb6-(TA14)cscuucuucUfCfGfaacuicaugus(invAb) 1502 AM11497-SS CS001001 Tri-SM6.1-avb6-(TA14)csagcuuccAfCfUfacaaiaccuus(invAb) 1503 AM10738-SS CS001003 Tri-SM6.1-avb6-(TA14)csagcuuccAfCfUfacaagaccuus(invAb) 1504 AM10740-SS CS001005 Tri-SM6.1-avb6-(TA14)gsa_2NaguaugCfUfCfagcacugiuas(invAb) 1505 AM10742-SS CS001007 Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcaccuucaaas(invAb) 1506 AM10746-SS CS001009 Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcaucuucaaas(invAb) 1507 AM10748-SS CSOO1O1O Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcacuuucaaas(invAb) 1508 AM10749-SS CS001036 Tri-SM6.1-avb6-(TA14)cscacccauGfUfGfcuacaacuaus(invAb) 1509 AM11739-SS CS001040 Tri-SM6.1-avb6-(TA14)csugcuaCfaAfcUfaugaiauccas(invAb) 1510 AM11743-SS CS001041 Tri-SM6.1-avb6-(TA14)csgagauCfaUfcUfucaacaacaas(invAb) 1511 AM11744-SS CS001401 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfuca_2Nacaacaas(invAb) 1512 AM12179-SS CS001644 Tri-SM6.1-avb6-(TA14)gscugauUfuGfcCfugaacaagaas(invAb) 1513 AM13074-SS CS002194 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaa(invAb) 1514 AM14080-SS CS002195 Tri-SM6.1-avb6-(TA14)gscugguucuGfCfGfacuacuacaas(invAb) 1515 AM14081-SS CS002196 Tri-SM6.1-avb6-(TA14)gscguucuGfCfGfacuacuacaas(invAb) 1516 AM14084-SS

The MUC5AC RNAi agents disclosed herein are formed by annealing an antisense strand with a sense strand. A sense strand containing a sequence listed in Table 2, Table 4, Table 5, Table 6, or Table 7 can be hybridized to any antisense strand containing a sequence listed in Table 2 or Table 3, provided the two sequences have a region of at least 85% complementarity over a contiguous 16, 17, 18, 19, 20, or 21 nucleotide sequence.

As shown in Table 5 above, certain of the example MUC5AC RNAi agent nucleotide sequences are shown to further include reactive linking groups at one or both of the 5′ terminal end and the 3′ terminal end of the sense strand. For example, many of the MUC5AC RNAi agent sense strand sequences shown in Table 5 above have a (TriAlk14) linking group at the 5′ end of the nucleotide sequence. Other linking groups, such as an (NH2-C6) linking group or a (6-SS-6) or (C6-SS-C6) linking group, may be present as well or alternatively in certain embodiments. Such reactive linking groups are positioned to facilitate the linking of targeting ligands, targeting groups, and/or PK/PD modulators to the MUC5AC RNAi agents disclosed herein. Linking or conjugation reactions are well known in the art and provide for formation of covalent linkages between two molecules or reactants. Suitable conjugation reactions for use in the scope of the inventions herein include, but are not limited to, amide coupling reaction, Michael addition reaction, hydrazone formation reaction, inverse-demand Diels-Alder cycloaddition reaction, oxime ligation, and Copper (I)-catalyzed or strain-promoted azide-alkyne cycloaddition reaction cycloaddition reaction.

In some embodiments, targeting ligands, such as the integrin targeting ligands shown in the examples and figures disclosed herein, can be synthesized as activated esters, such as tetrafluorophenyl (TFP) esters, which can be displaced by a reactive amino group (e.g., NH₂-C₆) to attach the targeting ligand to the MUC5AC RNAi agents disclosed herein. In some embodiments, targeting ligands are synthesized as azides, which can be conjugated to a propargyl (e.g., TriAlk14) or DBCO group, for example, via Copper (I)-catalyzed or strain-promoted azide-alkyne cycloaddition reaction.

Additionally, the nucleotide sequences can be synthesized with a dT nucleotide at the 3′ terminal end of the sense strand, followed by (3′→5′) a linker (e.g., C6-SS-C6). The linker can, in some embodiments, facilitate the linkage to additional components, such as, for example, a PK/PD modulator or one or more targeting ligands. The disulfide bond of C6-SS-C6 can then be reduced, removing the dT from the molecule, which can then facilitate the conjugation of the desired PK/PD modulator. The terminal dT nucleotide would therefore not be a part of the fully conjugated construct.

In some embodiments, the antisense strand of a MUC5AC RNAi agent disclosed herein differs by 0, 1, 2, or 3 nucleotides from any of the antisense strand sequences in Table 3 or Table 11. In some embodiments, the sense strand of a MUC5AC RNAi agent disclosed herein differs by 0, 1, 2, or 3 nucleotides from any of the sense strand sequences in Table 4, Table 5, Table 6, Table 7, or Table 11.

In some embodiments, a MUC5AC RNAi agent antisense strand comprises a nucleotide sequence of any of the sequences in Table 2 or Table 3. In some embodiments, a MUC5AC RNAi agent antisense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 1-17, 2-17, 1-18, 2-18, 1-19, 2-19, 1-20, 2-20, 1-21, 2-21, 1-22, 2-22, 1-23, 2-23, 1-24, or 2-24 of any of the sequences in Table 2, Table 3, or Table 11. In certain embodiments, a MUC5AC RNAi agent antisense strand comprises or consists of a modified sequence of any one of the modified sequences in Table 3 or Table 11.

In some embodiments, a MUC5AC RNAi agent sense strand comprises the nucleotide sequence of any of the sequences in Table 2 or Table 4. In some embodiments, a MUC5AC RNAi agent sense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 1-17, 2-17, 3-17, 4-17, 1-18, 2-18, 3-18, 4-18, 1-19, 2-19, 3-19, 4-19, 1-20, 2-20, 3-20, 4-20, 1-21, 2-21, 3-21, 4-21, 1-22, 2-22, 3-22, 4-22, 1-23, 2-23, 3-23, 4-23, 1-24, 2-24, 3-24, or 4-24, of any of the sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11. In certain embodiments, a MUC5AC RNAi agent sense strand comprises or consists of a modified sequence of any one of the modified sequences in Table 3 or Table 11.

For the RNAi agents disclosed herein, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) can be perfectly complementary to a MUC5AC gene, or can be non-complementary to a MUC5AC gene. In some embodiments, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) is a U, A, or dT (or a modified version of U, A or dT). In some embodiments, the nucleotide at position 1 of the antisense strand (from 5′ end→3′ end) forms an A:U or U:A base pair with the sense strand.

In some embodiments, a MUC5AC RNAi agent antisense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 2-18 or 2-19 of any of the antisense strand sequences in Table 2, Table 3, or Table 11. In some embodiments, a MUC5AC RNAi sense strand comprises the sequence of nucleotides (from 5′ end→3′ end) 1-17 or 1-18 of any of the sense strand sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

In some embodiments, a MUC5AC RNAi agent includes (i) an antisense strand comprising the sequence of nucleotides (from 5′ end→3′ end) 2-18 or 2-19 of any of the antisense strand sequences in Table 2, Table 3, or Table 11, and (ii) a sense strand comprising the sequence of nucleotides (from 5′ end→3′ end) 1-17 or 1-18 of any of the sense strand sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

A sense strand containing a sequence listed in Table 2 or Table 4 can be hybridized to any antisense strand containing a sequence listed in Table 2 or Table 3 provided the two sequences have a region of at least 85% complementarity over a contiguous 16, 17, 18, 19, 20, or 21 nucleotide sequence. In some embodiments, the MUC5AC RNAi agent has a sense strand consisting of the modified sequence of any of the modified sequences in Table 4, Table 5, Table 6, Table 7, or Table 11, and an antisense strand consisting of the modified sequence of any of the modified sequences in Table 3 or Table 11. Certain representative sequence pairings are exemplified by the Duplex ID Nos. shown in Tables 8A, 8B, 8C, 9, 10A and 10B.

In some embodiments, a MUC5AC RNAi agent comprises, consists of, or consists essentially of a duplex represented by any one of the Duplex ID Nos. presented herein. In some embodiments, a MUC5AC RNAi agent consists of any of the Duplex ID Nos. presented herein. In some embodiments, a MUC5AC RNAi agent comprises the sense strand and antisense strand nucleotide sequences of any of the Duplex ID Nos. presented herein. In some embodiments, a MUC5AC RNAi agent comprises the sense strand and antisense strand nucleotide sequences of any of the Duplex ID Nos. presented herein and a targeting group, linking group, and/or other non-nucleotide group wherein the targeting group, linking group, and/or other non-nucleotide group is covalently linked (i.e., conjugated) to the sense strand or the antisense strand. In some embodiments, a MUC5AC RNAi agent includes the sense strand and antisense strand modified nucleotide sequences of any of the Duplex ID Nos. presented herein. In some embodiments, a MUC5AC RNAi agent comprises the sense strand and antisense strand modified nucleotide sequences of any of the Duplex ID Nos. presented herein and a targeting group, linking group, and/or other non-nucleotide group, wherein the targeting group, linking group, and/or other non-nucleotide group is covalently linked to the sense strand or the antisense strand.

In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 2, 8A, 8B, 8C, 9, 10A, 10B, or 11, and comprises a targeting group. In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 2, 8A, 8B, 8C, 9, 10A, 10B, or 11, and comprises one or more αvβ6 integrin targeting ligands.

In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 2, 8A, 8B, 8C, 9, 10A, 10B, or 11, and comprises a targeting group that is an integrin targeting ligand. In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 2, 8A, 8B, 8C, 9, 10A, 10B, or 11, and comprises one or more αvβ6 integrin targeting ligands or clusters of αvβ6 integrin targeting ligands (e.g., a tridentate αvβ6 integrin targeting ligand).

In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the modified nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 8A, 8B, 8C, 9, 10A, 10B, and 11.

In some embodiments, a MUC5AC RNAi agent comprises an antisense strand and a sense strand having the modified nucleotide sequences of any of the antisense strand/sense strand duplexes of Tables 8A, 8B, 8C, 9, 10A, 10B, and 11, and comprises an integrin targeting ligand.

In some embodiments, a MUC5AC RNAi agent comprises, consists of, or consists essentially of any of the duplexes of Tables 8A, 8B, 8C, 9, 10A, 10B, and 11.

TABLE 8A MUC5AC RNAi Agent Duplexes with Corresponding Sense and Antisense Strand ID Numbers and Sequence ID numbers for the modified and unmodified nucleotide sequences. (Shown without Linking Agents or Conjugates) AS AS SS SS modified unmodified modified unmodified Duplex AS ID SEQ ID NO: SEQ ID NO: SS ID SEQ ID NO: SEQ ID NO: AD07626 AM10579-AS 1057 1517 AM10578-SS-NL 1192 1609 AD07627 AM10581-AS 1058 1518 AM10580-SS-NL 1193 1610 AD07628 AM10583-AS 1059 1519 AM10582-SS-NL 1194 1611 AD07629 AM10585-AS 1060 1520 AM10584-SS-NL 1195 1612 AD07630 AM10587-AS 1061 1521 AM10586-SS-NL 1196 1613 AD07631 AM10589-AS 1062 1522 AM10588-SS-NL 1197 1614 AD07632 AM10591-AS 1063 1523 AM10590-SS-NL 1198 1615 AD07633 AM10593-AS 1064 1524 AM10592-SS-NL 1199 1616 AD07634 AM10595-AS 1065 1525 AM10594-SS-NL 1200 1617 AD07635 AM10597-AS 1066 1526 AM10596-SS-NL 1201 1618 AD07636 AM10599-AS 1067 1527 AM10598-SS-NL 1202 1619 AD07637 AM10601-AS 1068 1528 AM10600-SS-NL 1203 1620 AD07638 AM10603-AS 1069 1529 AM10602-SS-NL 1204 1621 AD07639 AM10605-AS 1070 1529 AM10604-SS-NL 1205 1622 AD07716 AM10739-AS 1071 1530 AM10738-SS-NL 1206 1623 AD07717 AM10741-AS 1072 1530 AM10740-SS-NL 1207 1624 AD07718 AM10743-AS 1073 1531 AM10742-SS-NL 1208 1625 AD07719 AM10744-AS 1074 1531 AM10742-SS-NL 1208 1625 AD07720 AM10743-AS 1073 1531 AM10745-SS-NL 1209 1626 AD07721 AM10747-AS 1075 1532 AM10746-SS-NL 1210 1627 AD07722 AM10747-AS 1075 1532 AM10748-SS-NL 1211 1628 AD07723 AM10747-AS 1075 1532 AM10749-SS-NL 1212 1629 AD07731 AM10764-AS 1076 1533 AM10763-SS-NL 1213 1630 AD07732 AM10766-AS 1077 1534 AM10765-SS-NL 1214 1631 AD07733 AM10768-AS 1078 1535 AM10767-SS-NL 1215 1632 AD07734 AM10770-AS 1079 1536 AM10769-SS-NL 1216 1633 AD07735 AM10772-AS 1080 1537 AM10771-SS-NL 1217 1634 AD07744 AM10790-AS 1081 1538 AM10789-SS-NL 1218 1635 AD07745 AM10792-AS 1082 1539 AM10791-SS-NL 1219 1636 AD07746 AM10794-AS 1083 1540 AM10793-SS-NL 1220 1637 AD07747 AM10796-AS 1084 1541 AM10795-SS-NL 1221 1638 AD07748 AM10798-AS 1085 1542 AM10797-SS-NL 1222 1639 AD07749 AM10800-AS 1086 1543 AM10799-SS-NL 1223 1640 AD07750 AM10802-AS 1087 1544 AM10801-SS-NL 1224 1641 AD07751 AM10804-AS 1088 1545 AM10803-SS-NL 1225 1642 AD07752 AM10806-AS 1089 1546 AM10805-SS-NL 1226 1643 AD07753 AM10808-AS 1090 1530 AM10807-SS-NL 1227 1623 AD07754 AM10810-AS 1091 1547 AM10809-SS-NL 1228 1644 AD07755 AM10812-AS 1092 1548 AM10811-SS-NL 1229 1645 AD07756 AM10814-AS 1093 1549 AM10813-SS-NL 1230 1646 AD07757 AM10816-AS 1094 1550 AM10815-SS-NL 1231 1647 AD07758 AM10818-AS 1095 1532 AM10817-SS-NL 1232 1627 AD07760 AM10821-AS 1096 1551 AM10820-SS-NL 1234 1648 AD07761 AM10823-AS 1097 1552 AM10822-SS-NL 1235 1649 AD07762 AM10825-AS 1098 1553 AM10824-SS-NL 1236 1650 AD07763 AM10827-AS 1099 1554 AM10826-SS-NL 1237 1651 AD07764 AM10829-AS 1100 1555 AM10828-SS-NL 1238 1652 AD07765 AM10831-AS 1101 1556 AM10830-SS-NL 1239 1653 AD07766 AM10833-AS 1102 1557 AM10832-SS-NL 1240 1654 AD07767 AM10835-AS 1103 1558 AM10834-SS-NL 1241 1655 AD07768 AM10837-AS 1104 1559 AM10836-SS-NL 1242 1656 AD07769 AM10839-AS 1105 1560 AM10838-SS-NL 1243 1657 AD07770 AM10841-AS 1106 1561 AM10840-SS-NL 1244 1658 AD07771 AM10843-AS 1107 1562 AM10842-SS-NL 1245 1659 AD07772 AM10845-AS 1108 1563 AM10844-SS-NL 1246 1660 AD07773 AM10847-AS 1109 1564 AM10846-SS-NL 1247 1661 AD07774 AM10849-AS 1110 1565 AM10848-SS-NL 1248 1662 AD07941 AM11065-AS 1111 1531 AM10819-SS-NL 1233 1625 AD08083 AM11264-AS 1112 1566 AM11263-SS-NL 1250 1663 AD08084 AM11264-AS 1112 1566 AM11265-SS-NL 1251 1664 AD08085 AM11266-AS 1113 1566 AM11263-SS-NL 1250 1663 AD08086 AM11268-AS 1114 1567 AM11267-SS-NL 1252 1665 AD08087 AM11268-AS 1114 1567 AM11269-SS-NL 1253 1666 AD08088 AM11271-AS 1115 1568 AM11270-SS-NL 1254 1667 AD08089 AM11272-AS 1116 1568 AM11270-SS-NL 1254 1667 AD08094 AM11275-AS 1117 1569 AM11274-SS-NL 1255 1668 AD08095 AM11277-AS 1118 1570 AM11276-SS-NL 1256 1669 AD08096 AM11279-AS 1119 1571 AM11278-SS-NL 1257 1670 AD08097 AM11281-AS 1120 1572 AM11280-SS-NL 1258 1671 AD08098 AM11283-AS 1121 1573 AM11282-SS-NL 1259 1672 AD08099 AM11285-AS 1122 1574 AM11284-SS-NL 1260 1673 AD08100 AM11287-AS 1123 1575 AM11286-SS-NL 1261 1674 AD08101 AM11289-AS 1124 1576 AM11288-SS-NL 1262 1675 AD08102 AM11291-AS 1125 1577 AM11290-SS-NL 1263 1676 AD08103 AM11293-AS 1126 1578 AM11292-SS-NL 1264 1677 AD08173 AM10595-AS 1065 1525 AM11400-SS-NL 1265 1617 AD08174 AM11401-AS 1127 1525 AM11400-SS-NL 1265 1617 AD08175 AM11403-AS 1128 1579 AM11402-SS-NL 1266 1678 AD08176 AM11404-AS 1129 1579 AM11402-SS-NL 1266 1678 AD08177 AM11405-AS 1130 1579 AM11402-SS-NL 1266 1678 AD08224 AM11464-AS 1132 1581 AM11463-SS-NL 1267 1679 AD08225 AM11465-AS 1133 1581 AM11463-SS-NL 1267 1679 AD08226 AM11467-AS 1134 1582 AM11466-SS-NL 1268 1680 AD08227 AM11469-AS 1135 1583 AM11468-SS-NL 1269 1681 AD08228 AM11471-AS 1136 1584 AM11470-SS-NL 1270 1682 AD08229 AM11473-AS 1137 1585 AM11472-SS-NL 1271 1683 AD08230 AM11475-AS 1138 1586 AM11474-SS-NL 1272 1684 AD08231 AM11477-AS 1139 1587 AM11476-SS-NL 1273 1685 AD08232 AM11479-AS 1140 1588 AM11478-SS-NL 1274 1686 AD08233 AM11481-AS 1141 1589 AM11480-SS-NL 1275 1687 AD08243 AM11495-AS 1142 1590 AM11400-SS-NL 1265 1617 AD08244 AM11496-AS 1143 1525 AM11400-SS-NL 1265 1617 AD08245 AM11498-AS 1144 1591 AM11497-SS-NL 1276 1688 AD08246 AM11499-AS 1145 1591 AM11497-SS-NL 1276 1688 AD08420 AM11742-AS 1148 1566 AM11265-SS-NL 1251 1664 AD08421 AM11742-AS 1148 1566 AM11263-SS-NL 1250 1663 AD08422 AM11742-AS 1148 1566 AM11743-SS-NL 1278 1664 AD08423 AM11272-AS 1116 1568 AM11744-SS-NL 1279 1667 AD08424 AM11745-AS 1149 1568 AM11744-SS-NL 1279 1667 AD08468 AM11821-AS 1150 1589 AM11480-SS-NL 1275 1687 AD08469 AM11823-AS 1151 1589 AM11822-SS-NL 1280 1687 AD08470 AM11825-AS 1152 1593 AM11824-SS-NL 1281 1690 AD08564 AM11971-AS 1153 1594 AM11970-SS-NL 1282 1691 AD08565 AM11973-AS 1154 1595 AM11972-SS-NL 1283 1692 AD08566 AM11975-AS 1155 1596 AM11974-SS-NL 1284 1693 AD08567 AM11977-AS 1156 1597 AM11976-SS-NL 1285 1694 AD08568 AM11979-AS 1157 1598 AM11978-SS-NL 1286 1695 AD08569 AM07100-AS 1716 1566 AM11980-SS-NL 1287 1664 AD08570 AM11982-AS 1158 1599 AM11981-SS-NL 1288 1696 AD08571 AM11984-AS 1159 1600 AM11983-SS-NL 1289 1697 AD08572 AM07104-AS 1717 1568 AM11985-SS-NL 1290 1667 AD08573 AM11986-AS 1160 1568 AM11985-SS-NL 1290 1667 AD08662 AM12158-AS 1161 1601 AM12157-SS-NL 1291 1698 AD08663 AM12159-AS 1162 1601 AM12157-SS-NL 1291 1698 AD08664 AM12161-AS 1163 1601 AM12160-SS-NL 1292 1698 AD08665 AM12162-AS 1164 1601 AM12160-SS-NL 1292 1698 AD08666 AM12163-AS 1165 1535 AM10767-SS-NL 1215 1632 AD08667 AM12165-AS 1166 1535 AM12164-SS-NL 1293 1632 AD08668 AM12166-AS 1167 1535 AM12164-SS-NL 1293 1632 AD08669 AM12167-AS 1168 1535 AM12164-SS-NL 1293 1632 AD08670 AM12167-AS 1168 1535 AM12168-SS-NL 1294 1699 AD08671 AM12169-AS 1169 1571 AM11278-SS-NL 1257 1670 AD08672 AM12171-AS 1170 1571 AM12170-SS-NL 1295 1670 AD08673 AM12172-AS 1171 1571 AM12170-SS-NL 1295 1670 AD08674 AM12173-AS 1172 1534 AM10765-SS-NL 1214 1631 AD08675 AM12175-AS 1173 1534 AM12174-SS-NL 1296 1631 AD08676 AM12176-AS 1174 1534 AM12174-SS-NL 1296 1631 AD08677 AM12177-AS 1175 1534 AM12174-SS-NL 1296 1631 AD08678 AM12178-AS 1176 1568 AM11270-SS-NL 1254 1667 AD08679 AM12178-AS 1176 1568 AM12179-SS-NL 1297 1700 AD08680 AM12180-AS 1177 1568 AM11270-SS-NL 1254 1667 AD08681 AM12181-AS 1178 1568 AM11270-SS-NL 1254 1667 AD08682 AM12182-AS 1179 1602 AM11270-SS-NL 1254 1667 AD08687 AM12189-AS 1180 1603 AM12188-SS-NL 1298 1701 AD08688 AM12191-AS 1181 1604 AM12190-SS-NL 1299 1702 AD08689 AM12193-AS 1182 1605 AM12192-SS-NL 1300 1703 AD08690 AM12195-AS 1183 1606 AM12194-SS-NL 1301 1704 AD08691 AM12197-AS 1184 1607 AM12196-SS-NL 1302 1705 AD08692 AM12197-AS 1184 1607 AM12198-SS-NL 1303 1706 AD08889 AM11401-AS 1127 1525 AM10594-SS-NL 1200 1617 AD08890 AM12516-AS 1185 1525 AM12515-SS-NL 1304 1617 AD08891 AM12516-AS 1185 1525 AM12517-SS-NL 1305 1617 AD08892 AM12516-AS 1185 1525 AM12518-SS-NL 1306 1617 AD08893 AM12519-AS 1186 1525 AM12518-SS-NL 1306 1617 AD08894 AM12516-AS 1185 1525 AM12520-SS-NL 1307 1707 AD08895 AM12516-AS 1185 1525 AM12521-SS-NL 1308 1708 AD08896 AM12516-AS 1185 1525 AM12522-SS-NL 1309 1709 AD08897 AM12516-AS 1185 1525 AM12523-SS-NL 1310 1617 AD08951 AM12165-AS 1166 1535 AM12605-SS-NL 1311 1632 AD08952 AM12165-AS 1166 1535 AM12606-SS-NL 1312 1632 AD08953 AM12608-AS 1187 1608 AM12607-SS-NL 1313 1710 AD08954 AM12609-AS 1188 1535 AM12164-SS-NL 1293 1632 AD08955 AM12610-AS 1189 1535 AM12164-SS-NL 1293 1632 AD08956 AM12611-AS 1190 1535 AM12164-SS-NL 1293 1632 AD08957 AM12612-AS 1191 1535 AM12164-SS-NL 1293 1632 AD09240 AM12165-AS 1166 1535 AM13074-SS-NL 1315 1632 AD09241 AM12612-AS 1191 1535 AM13074-SS-NL 1315 1632 AD09863 AM11401-AS 1127 1525 AM14080-SS-NL 1316 1617 AD09864 AM11401-AS 1127 1525 AM14081-SS-NL 1317 1711 AD09865 AM11401-AS 1127 1525 AM14084-SS-NL 1318 1712

TABLE 8B MUC5AC RNAi Agent Duplexes with Corresponding Sense and Antisense Strand ID Numbers and Sequence ID numbers for the modified and unmodified nucleotide sequences.) AS AS SS SS modified unmodified modified unmodified Duplex AS ID SEQ ID NO: SEQ ID NO: SS ID SEQ ID NO: SEQ ID NO: AD07626 AM10579-AS 1057 1517 AM10578-SS 1319 1609 AD07627 AM10581-AS 1058 1518 AM10580-SS 1320 1610 AD07628 AM10583-AS 1059 1519 AM10582-SS 1321 1611 AD07629 AM10585-AS 1060 1520 AM10584-SS 1322 1612 AD07630 AM10587-AS 1061 1521 AM10586-SS 1323 1613 AD07631 AM10589-AS 1062 1522 AM10588-SS 1324 1614 AD07632 AM10591-AS 1063 1523 AM10590-SS 1325 1615 AD07633 AM10593-AS 1064 1524 AM10592-SS 1326 1616 AD07634 AM10595-AS 1065 1525 AM10594-SS 1327 1617 AD07635 AM10597-AS 1066 1526 AM10596-SS 1328 1618 AD07636 AM10599-AS 1067 1527 AM10598-SS 1329 1619 AD07637 AM10601-AS 1068 1528 AM10600-SS 1330 1620 AD07638 AM10603-AS 1069 1529 AM10602-SS 1331 1621 AD07639 AM10605-AS 1070 1529 AM10604-SS 1332 1622 AD07716 AM10739-AS 1071 1530 AM10738-SS 1333 1623 AD07717 AM10741-AS 1072 1530 AM10740-SS 1334 1624 AD07718 AM10743-AS 1073 1531 AM10742-SS 1335 1625 AD07719 AM10744-AS 1074 1531 AM10742-SS 1335 1625 AD07720 AM10743-AS 1073 1531 AM10745-SS 1336 1626 AD07721 AM10747-AS 1075 1532 AM10746-SS 1337 1627 AD07722 AM10747-AS 1075 1532 AM10748-SS 1338 1628 AD07723 AM10747-AS 1075 1532 AM10749-SS 1339 1629 AD07731 AM10764-AS 1076 1533 AM10763-SS 1340 1630 AD07732 AM10766-AS 1077 1534 AM10765-SS 1341 1631 AD07733 AM10768-AS 1078 1535 AM10767-SS 1342 1632 AD07734 AM10770-AS 1079 1536 AM10769-SS 1343 1633 AD07735 AM10772-AS 1080 1537 AM10771-SS 1344 1634 AD07744 AM10790-AS 1081 1538 AM10789-SS 1345 1635 AD07745 AM10792-AS 1082 1539 AM10791-SS 1346 1636 AD07746 AM10794-AS 1083 1540 AM10793-SS 1347 1637 AD07747 AM10796-AS 1084 1541 AM10795-SS 1348 1638 AD07748 AM10798-AS 1085 1542 AM10797-SS 1349 1639 AD07749 AM10800-AS 1086 1543 AM10799-SS 1350 1640 AD07750 AM10802-AS 1087 1544 AM10801-SS 1351 1641 AD07751 AM10804-AS 1088 1545 AM10803-SS 1352 1642 AD07752 AM10806-AS 1089 1546 AM10805-SS 1353 1643 AD07753 AM10808-AS 1090 1530 AM10807-SS 1354 1623 AD07754 AM10810-AS 1091 1547 AM10809-SS 1355 1644 AD07755 AM10812-AS 1092 1548 AM10811-SS 1356 1645 AD07756 AM10814-AS 1093 1549 AM10813-SS 1357 1646 AD07757 AM10816-AS 1094 1550 AM10815-SS 1358 1647 AD07758 AM10818-AS 1095 1532 AM10817-SS 1359 1627 AD07760 AM10821-AS 1096 1551 AM10820-SS 1361 1648 AD07761 AM10823-AS 1097 1552 AM10822-SS 1362 1649 AD07762 AM10825-AS 1098 1553 AM10824-SS 1363 1650 AD07763 AM10827-AS 1099 1554 AM10826-SS 1364 1651 AD07764 AM10829-AS 1100 1555 AM10828-SS 1365 1652 AD07765 AM10831-AS 1101 1556 AM10830-SS 1366 1653 AD07766 AM10833-AS 1102 1557 AM10832-SS 1367 1654 AD07767 AM10835-AS 1103 1558 AM10834-SS 1368 1655 AD07768 AM10837-AS 1104 1559 AM10836-SS 1369 1656 AD07769 AM10839-AS 1105 1560 AM10838-SS 1370 1657 AD07770 AM10841-AS 1106 1561 AM10840-SS 1371 1658 AD07771 AM10843-AS 1107 1562 AM10842-SS 1372 1659 AD07772 AM10845-AS 1108 1563 AM10844-SS 1373 1660 AD07773 AM10847-AS 1109 1564 AM10846-SS 1374 1661 AD07774 AM10849-AS 1110 1565 AM10848-SS 1375 1662 AD07941 AM11065-AS 1111 1531 AM10819-SS 1360 1625 AD08083 AM11264-AS 1112 1566 AM11263-SS 1377 1663 AD08084 AM11264-AS 1112 1566 AM11265-SS 1378 1664 AD08085 AM11266-AS 1113 1566 AM11263-SS 1377 1663 AD08086 AM11268-AS 1114 1567 AM11267-SS 1379 1665 AD08087 AM11268-AS 1114 1567 AM11269-SS 1380 1666 AD08088 AM11271-AS 1115 1568 AM11270-SS 1381 1667 AD08089 AM11272-AS 1116 1568 AM11270-SS 1381 1667 AD08094 AM11275-AS 1117 1569 AM11274-SS 1382 1668 AD08095 AM11277-AS 1118 1570 AM11276-SS 1383 1669 AD08096 AM11279-AS 1119 1571 AM11278-SS 1384 1670 AD08097 AM11281-AS 1120 1572 AM11280-SS 1385 1671 AD08098 AM11283-AS 1121 1573 AM11282-SS 1386 1672 AD08099 AM11285-AS 1122 1574 AM11284-SS 1387 1673 AD08100 AM11287-AS 1123 1575 AM11286-SS 1388 1674 AD08101 AM11289-AS 1124 1576 AM11288-SS 1389 1675 AD08102 AM11291-AS 1125 1577 AM11290-SS 1390 1676 AD08103 AM11293-AS 1126 1578 AM11292-SS 1391 1677 AD08173 AM10595-AS 1065 1525 AM11400-SS 1392 1617 AD08174 AM11401-AS 1127 1525 AM11400-SS 1392 1617 AD08175 AM11403-AS 1128 1579 AM11402-SS 1393 1678 AD08176 AM11404-AS 1129 1579 AM11402-SS 1393 1678 AD08177 AM11405-AS 1130 1579 AM11402-SS 1393 1678 AD08224 AM11464-AS 1132 1581 AM11463-SS 1394 1679 AD08225 AM11465-AS 1133 1581 AM11463-SS 1394 1679 AD08226 AM11467-AS 1134 1582 AM11466-SS 1395 1680 AD08227 AM11469-AS 1135 1583 AM11468-SS 1396 1681 AD08228 AM11471-AS 1136 1584 AM11470-SS 1397 1682 AD08229 AM11473-AS 1137 1585 AM11472-SS 1398 1683 AD08230 AM11475-AS 1138 1586 AM11474-SS 1399 1684 AD08231 AM11477-AS 1139 1587 AM11476-SS 1400 1685 AD08232 AM11479-AS 1140 1588 AM11478-SS 1401 1686 AD08233 AM11481-AS 1141 1589 AM11480-SS 1402 1687 AD08243 AM11495-AS 1142 1590 AM11400-SS 1392 1617 AD08244 AM11496-AS 1143 1525 AM11400-SS 1392 1617 AD08245 AM11498-AS 1144 1591 AM11497-SS 1403 1688 AD08246 AM11499-AS 1145 1591 AM11497-SS 1403 1688 AD08420 AM11742-AS 1148 1566 AM11265-SS 1378 1664 AD08421 AM11742-AS 1148 1566 AM11263-SS 1377 1663 AD08422 AM11742-AS 1148 1566 AM11743-SS 1405 1664 AD08423 AM11272-AS 1116 1568 AM11744-SS 1406 1667 AD08424 AM11745-AS 1149 1568 AM11744-SS 1406 1667 AD08468 AM11821-AS 1150 1589 AM11480-SS 1402 1687 AD08469 AM11823-AS 1151 1589 AM11822-SS 1407 1687 AD08470 AM11825-AS 1152 1593 AM11824-SS 1408 1690 AD08564 AM11971-AS 1153 1594 AM11970-SS 1409 1691 AD08565 AM11973-AS 1154 1595 AM11972-SS 1410 1692 AD08566 AM11975-AS 1155 1596 AM11974-SS 1411 1693 AD08567 AM11977-AS 1156 1597 AM11976-SS 1412 1694 AD08568 AM11979-AS 1157 1598 AM11978-SS 1413 1695 AD08569 AM07100-AS 1716 1566 AM11980-SS 1414 1664 AD08570 AM11982-AS 1158 1599 AM11981-SS 1415 1696 AD08571 AM11984-AS 1159 1600 AM11983-SS 1416 1697 AD08572 AM07104-AS 1717 1568 AM11985-SS 1417 1667 AD08573 AM11986-AS 1160 1568 AM11985-SS 1417 1667 AD08662 AM12158-AS 1161 1601 AM12157-SS 1418 1698 AD08663 AM12159-AS 1162 1601 AM12157-SS 1418 1698 AD08664 AM12161-AS 1163 1601 AM12160-SS 1419 1698 AD08665 AM12162-AS 1164 1601 AM12160-SS 1419 1698 AD08666 AM12163-AS 1165 1535 AM10767-SS 1342 1632 AD08667 AM12165-AS 1166 1535 AM12164-SS 1420 1632 AD08668 AM12166-AS 1167 1535 AM12164-SS 1420 1632 AD08669 AM12167-AS 1168 1535 AM12164-SS 1420 1632 AD08670 AM12167-AS 1168 1535 AM12168-SS 1421 1699 AD08671 AM12169-AS 1169 1571 AM11278-SS 1384 1670 AD08672 AM12171-AS 1170 1571 AM12170-SS 1422 1670 AD08673 AM12172-AS 1171 1571 AM12170-SS 1422 1670 AD08674 AM12173-AS 1172 1534 AM10765-SS 1341 1631 AD08675 AM12175-AS 1173 1534 AM12174-SS 1423 1631 AD08676 AM12176-AS 1174 1534 AM12174-SS 1423 1631 AD08677 AM12177-AS 1175 1534 AM12174-SS 1423 1631 AD08678 AM12178-AS 1176 1568 AM11270-SS 1381 1667 AD08679 AM12178-AS 1176 1568 AM12179-SS 1424 1700 AD08680 AM12180-AS 1177 1568 AM11270-SS 1381 1667 AD08681 AM12181-AS 1178 1568 AM11270-SS 1381 1667 AD08682 AM12182-AS 1179 1602 AM11270-SS 1381 1667 AD08687 AM12189-AS 1180 1603 AM12188-SS 1425 1701 AD08688 AM12191-AS 1181 1604 AM12190-SS 1426 1702 AD08689 AM12193-AS 1182 1605 AM12192-SS 1427 1703 AD08690 AM12195-AS 1183 1606 AM12194-SS 1428 1704 AD08691 AM12197-AS 1184 1607 AM12196-SS 1429 1705 AD08692 AM12197-AS 1184 1607 AM12198-SS 1430 1706 AD08889 AM11401-AS 1127 1525 AM10594-SS 1327 1617 AD08890 AM12516-AS 1185 1525 AM12515-SS 1431 1617 AD08891 AM12516-AS 1185 1525 AM12517-SS 1432 1617 AD08892 AM12516-AS 1185 1525 AM12518-SS 1433 1617 AD08893 AM12519-AS 1186 1525 AM12518-SS 1433 1617 AD08894 AM12516-AS 1185 1525 AM12520-SS 1434 1707 AD08895 AM12516-AS 1185 1525 AM12521-SS 1435 1708 AD08896 AM12516-AS 1185 1525 AM12522-SS 1436 1709 AD08897 AM12516-AS 1185 1525 AM12523-SS 1437 1617 AD08951 AM12165-AS 1166 1535 AM12605-SS 1438 1632 AD08952 AM12165-AS 1166 1535 AM12606-SS 1439 1632 AD08953 AM12608-AS 1187 1608 AM12607-SS 1440 1710 AD08954 AM12609-AS 1188 1535 AM12164-SS 1420 1632 AD08955 AM12610-AS 1189 1535 AM12164-SS 1420 1632 AD08956 AM12611-AS 1190 1535 AM12164-SS 1420 1632 AD08957 AM12612-AS 1191 1535 AM12164-SS 1420 1632 AD09240 AM12165-AS 1166 1535 AM13074-SS 1441 1632 AD09241 AM12612-AS 1191 1535 AM13074-SS 1441 1632 AD09863 AM11401-AS 1127 1525 AM14080-SS 1442 1617 AD09864 AM11401-AS 1127 1525 AM14081-SS 1443 1711 AD09865 AM11401-AS 1127 1525 AM14084-SS 1444 1712

TABLE 8C MUC5AC RNAi Agent Duplexes with Corresponding Sense and Antisense Strand ID Numbers and Sequence ID numbers for certain modified and unmodified nucleotide sequences tested in vitro. AS AS SS SS modified unmodified modified unmodified Duplex AS ID SEQ ID NO: SEQ ID NO: SS ID SEQ ID NO: SEQ ID NO: AD07634 AM10595-AS 1065 1525 AM10594-SS-S 1445 1617 AD07637 AM10601-AS 1068 1528 AM10600-SS-S 1446 1620 AD07732 AM10766-AS 1077 1534 AM10765-SS-S 1447 1631 AD07733 AM10768-AS 1078 1535 AM10767-SS-S 1448 1632 AD07734 AM10770-AS 1079 1536 AM10769-SS-S 1449 1633 AD07735 AM10772-AS 1080 1537 AM10771-SS-S 1450 1634 AD07745 AM10792-AS 1082 1539 AM10791-SS-S 1451 1636 AD07746 AM10794-AS 1083 1540 AM10793-SS-S 1452 1637 AD07747 AM10796-AS 1084 1541 AM10795-SS-S 1453 1638 AD07748 AM10798-AS 1085 1542 AM10797-SS-S 1454 1639 AD07749 AM10800-AS 1086 1543 AM10799-SS-S 1455 1640 AD07750 AM10802-AS 1087 1544 AM10801-SS-S 1456 1641 AD07751 AM10804-AS 1088 1545 AM10803-SS-S 1457 1642 AD07756 AM10814-AS 1093 1549 AM10813-SS-S 1458 1646 AD07760 AM10821-AS 1096 1551 AM10820-SS-S 1459 1648 AD07763 AM10827-AS 1099 1554 AM10826-SS-S 1460 1651 AD07764 AM10829-AS 1100 1555 AM10828-SS-S 1461 1652 AD07766 AM10833-AS 1102 1557 AM10832-SS-S 1462 1654 AD07768 AM10837-AS 1104 1559 AM10836-SS-S 1463 1656 AD07770 AM10841-AS 1106 1561 AM10840-SS-S 1464 1658 AD07771 AM10843-AS 1107 1562 AM10842-SS-S 1465 1659 AD07772 AM10845-AS 1108 1563 AM10844-SS-S 1466 1660 AD07773 AM10847-AS 1109 1564 AM10846-SS-S 1467 1661 AD07774 AM10849-AS 1110 1565 AM10848-SS-S 1468 1662 AD08094 AM11275-AS 1117 1569 AM11274-SS-S 1469 1668 AD08095 AM11277-AS 1118 1570 AM11276-SS-S 1470 1669 AD08096 AM11279-AS 1119 1571 AM11278-SS-S 1471 1670 AD08097 AM11281-AS 1120 1572 AM11280-SS-S 1472 1671 AD08100 AM11287-AS 1123 1575 AM11286-SS-S 1473 1674 AD08101 AM11289-AS 1124 1576 AM11288-SS-S 1474 1675 AD08103 AM11293-AS 1126 1578 AM11292-SS-S 1475 1677 AD08568 AM11979-AS 1157 1598 AM11978-SS-S 1476 1695 AD08569 AM07100-AS 1716 1566 AM11980-SS-S 1477 1664 AD08571 AM11984-AS 1159 1600 AM11983-SS-S 1478 1697 AD08572 AM07104-AS 1717 1568 AM11985-SS-S 1479 1667 AD08573 AM11986-AS 1160 1568 AM11985-SS-S 1479 1667 AD08666 AM12163-AS 1165 1535 AM10767-SS-S 1448 1632 AD08667 AM12165-AS 1166 1535 AM12164-SS-S 1480 1632 AD08668 AM12166-AS 1167 1535 AM12164-SS-S 1480 1632 AD08669 AM12167-AS 1168 1535 AM12164-SS-S 1480 1632 AD08670 AM12167-AS 1168 1535 AM12168-SS-S 1481 1699 AD08671 AM12169-AS 1169 1571 AM11278-SS-S 1471 1670 AD08672 AM12171-AS 1170 1571 AM12170-SS-S 1482 1670 AD08673 AM12172-AS 1171 1571 AM12170-SS-S 1482 1670

TABLE 9 MUC5AC RNAi Agent Conjugated Duplexes with Corresponding Sense and Antisense Strand ID Numbers and Sequence ID numbers for the modified and unmodified nucleotide sequences. (Shown with Targeting Ligand Conjugates) AS AS SS SS modified unmodified modified unmodified Duplex AS ID SEQ ID NO: SEQ ID NO: SS ID SEQ ID NO: SEQ ID NO: AC000313 AM10743-AS 1073 1531 CS000387 1483 1626 AC000431 AM11264-AS 1112 1566 CS000521 1486 1663 AC000432 AM11264-AS 1112 1566 CS000523 1487 1664 AC000433 AM11266-AS 1113 1566 CS000521 1486 1663 AC000434 AM11268-AS 1114 1567 CS000525 1488 1665 AC000435 AM11268-AS 1114 1567 CS000527 1489 1666 AC000436 AM11271-AS 1115 1568 CS000528 1490 1667 AC000437 AM11272-AS 1116 1568 CS000528 1490 1667 AC000480 AM11401-AS 1127 1525 CS000578 1491 1617 AC000482 AM10595-AS 1065 1525 CS000578 1491 1617 AC000483 AM11495-AS 1142 1590 CS000578 1491 1617 AC000484 AM11496-AS 1143 1525 CS000578 1491 1617 AC000485 AM11403-AS 1128 1579 CS000583 1492 1678 AC000486 AM11404-AS 1129 1579 CS000583 1492 1678 AC000487 AM11405-AS 1130 1579 CS000583 1492 1678 AC000502 AM11462-AS 1131 1580 CS000517 1484 1718 AC000504 AM11464-AS 1132 1581 CS000608 1493 1679 AC000505 AM11465-AS 1133 1581 CS000608 1493 1679 AC000506 AM11467-AS 1134 1582 CS000612 1494 1680 AC000507 AM11469-AS 1135 1583 CS000614 1495 1681 AC000508 AM11471-AS 1136 1584 CS000616 1496 1682 AC000509 AM11473-AS 1137 1585 CS000618 1497 1683 AC000510 AM11475-AS 1138 1586 CS000620 1498 1684 AC000511 AM11477-AS 1139 1587 CS000622 1499 1685 AC000512 AM11479-AS 1140 1588 CS000624 1500 1686 AC000513 AM11481-AS 1141 1589 CS000626 1501 1687 AC000805 AM10739-AS 1071 1530 CS001001 1503 1623 AC000806 AM10741-AS 1072 1530 CS001003 1504 1624 AC000807 AM10743-AS 1073 1531 CS001005 1505 1625 AC000808 AM10744-AS 1074 1531 CS001005 1505 1625 AC000809 AM10747-AS 1075 1532 CS001007 1506 1627 AC000810 AM10747-AS 1075 1532 CS001009 1507 1628 AC000811 AM10747-AS 1075 1532 CS001010 1508 1629 AC001128 AM12178-AS 1176 1568 CS000528 1490 1667 AC001129 AM12178-AS 1176 1568 CS001401 1512 1700 AC001130 AM12180-AS 1177 1568 CS000528 1490 1667 AC001131 AM12181-AS 1178 1568 CS000528 1490 1667 AC000832 AM11742-AS 1148 1566 CS000523 1487 1664 AC000833 AM11742-AS 1148 1566 CS000521 1486 1663 AC000834 AM11742-AS 1148 1566 CS001040 1510 1664 AC000835 AM11272-AS 1116 1568 CS001041 1511 1667 AC000836 AM11745-AS 1149 1568 CS001041 1511 1667 AC001305 AM12165-AS 1166 1535 CS001644 1513 1632 AC001306 AM12612-AS 1191 1535 CS001644 1513 1632 AC001708 AM11401-AS 1127 1525 CS002194 1514 1617 AC001709 AM11401-AS 1127 1525 CS002195 1515 1711 AC001710 AM11401-AS 1127 1525 CS002196 1516 1712

TABLE 10A Conjugate Duplex ID Numbers Referencing Position Targeted On MUC5AC (MUC5AC) Gene Targeted MUC5AC Gene Position Duplex AS ID SS ID (Of SEQ ID NO: 1) AC000313 AM10743-AS CS000387 1921 AC000431 AM11264-AS CS000521 5029 AC000432 AM11264-AS CS000523 5029 AC000433 AM11266-AS CS000521 5029 AC000434 AM11268-AS CS000525 9729 AC000435 AM11268-AS CS000527 9729 AC000436 AM11271-AS CS000528 15052 AC000437 AM11272-AS CS000528 15052 AC000480 AM11401-AS CS000578 3535 AC000482 AM10595-AS CS000578 3535 AC000483 AM11495-AS CS000578 3535 AC000484 AM11496-AS CS000578 3535 AC000485 AM11403-AS CS000583 3535 AC000486 AM11404-AS CS000583 3535 AC000487 AM11405-AS CS000583 3535 AC000502 AM11462-AS CS000517 N/A (murine-specific) AC000504 AM11464-AS CS000608 N/A (murine-specific) AC000505 AM11465-AS CS000608 N/A (murine-specific) AC000506 AM11467-AS CS000612 N/A (murine-specific) AC000507 AM11469-AS CS000614 N/A (murine-specific) AC000508 AM11471-AS CS000616 N/A (murine-specific) AC000509 AM11473-AS CS000618 N/A (murine-specific) AC000510 AM11475-AS CS000620 N/A (murine-specific) AC000511 AM11477-AS CS000622 N/A (murine-specific) AC000512 AM11479-AS CS000624 N/A (murine-specific) AC000513 AM11481-AS CS000626 N/A (murine-specific) AC000805 AM10739-AS CS001001 304 AC000806 AM10741-AS CS001003 304 AC000807 AM10743-AS CS001005 1921 AC000808 AM10744-AS CS001005 1921 AC000809 AM10747-AS CS001007 1832 AC000810 AM10747-AS CS001009 1832 AC000811 AM10747-AS CS001010 1832 AC001128 AM12178-AS CS000528 15052 AC001129 AM12178-AS CS001401 15052 AC001130 AM12180-AS CS000528 15052 AC001131 AM12181-AS CS000528 15052 AC000832 AM11742-AS CS000523 5029 AC000833 AM11742-AS CS000521 5029 AC000834 AM11742-AS CS001040 5029 AC000835 AM11272-AS CS001041 15052 AC000836 AM11745-AS CS001041 15052 AC001305 AM12165-AS CS001644 4993 AC001306 AM12612-AS CS001644 4993 AC001708 AM11401-AS CS002194 3535 AC001709 AM11401-AS CS002195 3535 AC001710 AM11401-AS CS002196 3535

TABLE 10B Conjugate ID Numbers and Corresponding AD Duplex Numbers, Referencing Position Targeted On MUC5AC (MUC5AC) Gene Corresponding Targeted MUC5AC AC Duplex AD Duplex Gene Position Number Number (Of SEQ ID NO: 1) AC000313 AD07720 1921 AC000431 AD08083 5029 AC000432 AD08084 5029 AC000433 AD08085 5029 AC000434 AD08086 9729 AC000435 AD08087 9729 AC000436 AD08088 15052 AC000437 AD08089 15052 AC000480 AD08174 3535 AC000482 AD08173 3535 AC000483 AD08243 3535 AC000484 AD08244 3535 AC000485 AD08175 3535 AC000486 AD08176 3535 AC000487 AD08177 3535 AC000502 AD08222 N/A (murine-specific) AC000503 AD08223 N/A (murine-specific) AC000504 AD08224 N/A (murine-specific) AC000505 AD08225 N/A (murine-specific) AC000506 AD08226 N/A (murine-specific) AC000507 AD08227 N/A (murine-specific) AC000508 AD08228 N/A (murine-specific) AC000509 AD08229 N/A (murine-specific) AC000510 AD08230 N/A (murine-specific) AC000511 AD08231 N/A (murine-specific) AC000512 AD08232 N/A (murine-specific) AC000513 AD08233 N/A (murine-specific) AC000805 AD07716 304 AC000806 AD07717 304 AC000807 AD07718 1921 AC000808 AD07719 1921 AC000809 AD07721 1832 AC000810 AD07722 1832 AC000811 AD07723 1832 AC001128 AD08678 15052 AC001129 AD08679 15052 AC001130 AD08680 15052 AC001131 AD08681 15052 AC000832 AD08420 5029 AC000833 AD08421 5029 AC000834 AD08422 5029 AC000835 AD08423 15052 AC000836 AD08424 15052 AC001305 AD09240 4993 AC001306 AD09241 4993 AC001708 AD09863 3535 AC001709 AD09864 3535 AC001710 AD09865 3535

TABLE 11 Conjugate ID Numbers With Chemically Modified Antisense and Sense Strands (including Linkers and Conjugates) Sense Strand (Fully Modified with Conjugated Targeting AC ID Number Ligand) (5′ →> 3′) SEQ ID NO. Antisense Strand (5′ →> 3′) SEQ ID NO. AC000313 Tri-SM6.1-avb6-(TA14)gsa_2NaguaugCfUfCfaguacugiuas(invAb) 1483 cPrpusAfscsCfaGfuGfcUfgAfgCfaUfaCfuUfsc 1073 AC000431 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugagauccas(invAb) 1486 cPrpusGfsgsAfuCfuCfaUfaGfuUfgUfaGfcAfsg 1112 AC000432 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugaiauccas(invAb) 1487 cPrpusGfsgsAfuCfuCfaUfaGfuUfgUfaGfcAfsg 1112 AC000433 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugagauccas(invAb) 1486 cPrpusGfsgsAfuCfUuNACfaUfaGfuUfgUfaGfcAfsg 1113 AC000434 Tri-SM6.1-avb6-(TA14)cscuggaccAfAfGfugguuugacas(invAb) 1488 cPrpusGfsusCfaAfaCfcAfcUfuGfgUfcCfaGfsg 1114 AC000435 Tri-SM6.1-avb6-(TA14)cscuggaccAfAfGfugguuuiacas(invAb) 1489 cPrpusGfsusCfaAfaCfcAfcUfuGfgUfcCfaGfsg 1114 AC000436 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 cPrpusUfsgsUfuGfuUfgAfaGfaUfgAfuCfuCfsg 1115 AC000437 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 cPrpusUfsgsUfuguugaaGfaUfgAfucucsg 1116 AC000480 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaas(invAb) 1491 cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1127 AC000482 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaas(invAb) 1491 usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1065 AC000483 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaas(invAb) 1491 cPrpusUfsgsUfaGfuAfgUfcicAfgAfaCfaGfsc 1142 AC000484 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaas(invAb) 1491 cPrpusUfsgsUfaGfuAfgUfcgcAfgAfaCfaGfsc 1143 AC000485 Tri-SM6.1-avb6-(TA14)gscuguucuGfUfGfacuacuacaas(invAb) 1492 usUfsgsUfaGfuAfgUfcAfcAfgAfaCfaGfsc 1128 AC000486 Tri-SM6.1-avb6-(TA14)gscuguucuGfUfGfacuacuacaas(invAb) 1492 cPrpusUfsgsUfaGfuAfgUfcAfcAfgAfaCfaGfsc 1129 AC000487 Tri-SM6.1-avb6-(TA14)gscuguucuGfUfGfacuacuacaas(invAb) 1492 cPrpusUfsgsuaguagucAfcAfgAfacagsc 1130 AC000502 Tri-SM6.1-avb6-(TA14)ascccauguGfCfUfacaacuaugas(invAb) 1484 cPrpusCfsasuaguuguaGfcAfcAfugggsu 1131 AC000503 Tri-SM6.1-avb6-(TA14)asccagaucAfUfCfuucaacaacas(invAb) 1493 usGfsusUfgUfuGfaAfgAfuGfaUfcUfgGfsu 1715 AC000504 Tri-SM6.1-avb6-(TA14)asccagaucAfUfCfuucaacaacas(invAb) 1493 cPrpusGfsusUfgUfuGfaAfgAfuGfaUfcUfgGfsu 1132 AC000505 Tri-SM6.1-avb6-(TA14)asccagaucAfUfCfuucaacaacas(invAb) 1493 cPrpusGfsusuguugaagAfuGfaUfcuggsu 1133 AC000506 Tri-SM6.1-avb6-(TA14)gsgcucuguGfGfUfaacuucaacas(invAb) 1494 cPrpusGfsusUfgAfaGfuUfaCfcAfcAfgAfgCfsc 1134 AC000507 Tri-SM6.1-avb6-(TA14)gsagcguggAfGfAfaugaaaaguas(invAb) 1495 cPrpusAfscsUfuUfuCfaUfuCfuCfcAfcGfcUfsc 1135 AC000508 Tri-SM6.1-avb6-(TA14)gsggagaauGfAfAfaaguaugcuas(invAb) 1496 cPrpusAfsgsCfaUfaCfuUfuUfcAfuUfcUfcCfsc 1136 AC000509 Tri-SM6.1-avb6-(TA14)csuucucgaAfCfUfgcauguaugas(invAb) 1497 cPrpusCfsasUfaCfaUfgCfaGfuUfcGfaGfaAfsg 1137 AC000510 Tri-SM6.1-avb6-(TA14)gscucgaacUfGfCfauguaugacas(invAb) 1498 cPrpusGfsusCfaUfaCfaUfgCfaGfuUfcGfaGfsc 1138 AC000511 Tri-SM6.1-avb6-(TA14)csucgaacuGfCfAfuguaugacaas(invAb) 1499 cPrpusUfsgsUfcAfuAfcAfuGfcAfgUfuCfgAfsg 1139 AC000512 Tri-SM6.1-avb6-(TA14)cscacuguuCfUfGfugacuacuaas(invAb) 1500 cPrpusUfsasGfuAfgUfcAfcAfgAfaCfaGfuGfsg 1140 AC000513 Tri-SM6.1-avb6-(TA14)csacuguucUfGfUfgacuacuacas(invAb) 1501 cPrpusGfsusAfgUfaGfuCfaCfaGfaAfcAfgUfsg 1141 AC000805 Tri-SM6.1-avb6-(TA14)csagcuuccAfCfUfacaaiaccuus(invAb) 1503 cPrpasAfsgsGfuCfuUfgUfaGfuGfgAfaGfcUfsg 1071 AC000806 Tri-SM6.1-avb6-(TA14)csagcuuccAfCfUfacaagaccuus(invAb) 1504 cPrpasAfsgsGfuCfUuNAUfgUfaGfuGfgAfaGfcUfsg 1072 AC000807 Tri-SM6.1-avb6-(TA14)gsa_2NaguaugCfUfCfagcacugiuas(invAb) 1505 cPrpusAfscsCfaGfuGfcUfgAfgCfaUfaCfuUfsc 1073 AC000808 Tri-SM6.1-avb6-(TA14)gsa_2NaguaugCfUfCfagcacugiuas(invAb) 1505 cPrpusAfscsCfaGfUuNAGfcUfgAfgCfaUfaCfuUfsc 1074 AC000809 Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcaccuucaaas(invAb) 1506 cPrpusUfsusGfaAfgguguUfgAfaGfaAfgGfsc 1075 AC000810 Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcaucuucaaas(invAb) 1507 cPrpusUfsusGfaAfgguguUfgAfaGfaAfgGfsc 1075 AC000811 Tri-SM6.1-avb6-(TA14)gsccuucuuCfAfAfcacuuucaaas(invAb) 1508 cPrpusUfsusGfaAfgguguUfgAfaGfaAfgGfsc 1075 AC000832 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugaiauccas(invAb) 1487 cPrpusGfsgsaucucauaGfuUfgUfagcasg 1148 AC000833 Tri-SM6.1-avb6-(TA14)csugcuacaAfCfUfaugagauccas(invAb) 1486 cPrpusGfsgsaucucauaGfuUfgUfagcasg 1148 AC000834 Tri-SM6.1-avb6-(TA14)csugcuaCfaAfcUfaugaiauccas(invAb) 1510 cPrpusGfsgsaucucauaGfuUfgUfagcasg 1148 AC000835 Tri-SM6.1-avb6-(TA14)csgagauCfaUfcUfucaacaacaas(invAb) 1511 cPrpusUfsgsUfuguugaaGfaUfgAfucucsg 1116 AC000836 Tri-SM6.1-avb6-(TA14)csgagauCfaUfcUfucaacaacaas(invAb) 1511 cPrpusUfsgsuuguugaaGfaUfgAfucucsg 1149 AC001128 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 cPrpusUfsgsUfugUuNAUgaaGfaUfgAfucucsg 1176 AC001129 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfuca_2Nacaacaas(invAb) 1512 cPrpusUfsgsUfugUuNAUgaaGfaUfgAfucucsg 1176 AC001130 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 cPrpusUfsgsUfuguUuNAgaaGfaUfgAfucucsg 1177 AC001131 Tri-SM6.1-avb6-(TA14)csgagaucaUfCfUfucaacaacaas(invAb) 1490 cPrpusUfsgsUfUuNAguugaaGfaUfgAfucucsg 1178 AC001305 Tri-SM6.1-avb6-(TA14)gscugauUfuGfcCfugaacaagaas(invAb) 1513 usUfscsuuguucagGfcAfaAfucagsc 1166 AC001306 Tri-SM6.1-avb6-(TA14)gscugauUfuGfcCfugaacaagaas(invAb) 1513 cPrpuUfcuuguucagGfcAfaAfucagsc 1191 AC001708 Tri-SM6.1-avb6-(TA14)gscuguucuGfCfGfacuacuacaa(invAb) 1514 cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1127 AC001709 Tri-SM6.1-avb6-(TA14)gscugguucuGfCfGfacuacuacaas(invAb) 1515 cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1127 AC001710 Tri-SM6.1-avb6-(TA14)gscguucuGfCfGfacuacuacaas(invAb) 1516 cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc 1127

In some embodiments, a MUC5AC RNAi agent is prepared or provided as a salt, mixed salt, or a free-acid. In some embodiments, a MUC5AC RNAi agent is prepared or provided as a pharmaceutically acceptable salt. In some embodiments, a MUC5AC RNAi agent is prepared or provided as a pharmaceutically acceptable sodium or potassium salt The RNAi agents described herein, upon delivery to a cell expressing an MUC5AC gene, inhibit or knockdown expression of one or more MUC5AC genes in vivo and/or in vitro.

Targeting Groups, Linking Groups, Pharmacokinetic/Pharmacodynamic (PK/PD) Modulators, and Delivery Vehicles

In some embodiments, a MUC5AC RNAi agent contains or is conjugated to one or more non-nucleotide groups including, but not limited to, a targeting group, a linking group, a pharmacokinetic/pharmacodynamic (PK/PD) modulator, a delivery polymer, or a delivery vehicle. The non-nucleotide group can enhance targeting, delivery, or attachment of the RNAi agent. The non-nucleotide group can be covalently linked to the 3′ and/or 5′ end of either the sense strand and/or the antisense strand. In some embodiments, a MUC5AC RNAi agent contains a non-nucleotide group linked to the 3′ and/or 5′ end of the sense strand. In some embodiments, a non-nucleotide group is linked to the 5′ end of a MUC5AC RNAi agent sense strand. A non-nucleotide group can be linked directly or indirectly to the RNAi agent via a linker/linking group. In some embodiments, a non-nucleotide group is linked to the RNAi agent via a labile, cleavable, or reversible bond or linker.

In some embodiments, a non-nucleotide group enhances the pharmacokinetic or biodistribution properties of an RNAi agent or conjugate to which it is attached to improve cell- or tissue-specific distribution and cell-specific uptake of the conjugate. In some embodiments, a non-nucleotide group enhances endocytosis of the RNAi agent.

Targeting groups or targeting moieties enhance the pharmacokinetic or biodistribution properties of a conjugate or RNAi agent to which they are attached to improve cell-specific (including, in some cases, organ specific) distribution and cell-specific (or organ specific) uptake of the conjugate or RNAi agent. A targeting group can be monovalent, divalent, trivalent, tetravalent, or have higher valency for the target to which it is directed. Representative targeting groups include, without limitation, compounds with affinity to cell surface molecule, cell receptor ligands, hapten, antibodies, monoclonal antibodies, antibody fragments, and antibody mimics with affinity to cell surface molecules. In some embodiments, a targeting group is linked to an RNAi agent using a linker, such as a PEG linker or one, two, or three abasic and/or ribitol (abasic ribose) residues, which in some instances can serve as linkers.

A targeting group, with or without a linker, can be attached to the 5′ or 3′ end of any of the sense and/or antisense strands disclosed in Tables 2, 3, 4, 5, 6, 7, and 11. A linker, with or without a targeting group, can be attached to the 5′ or 3′ end of any of the sense and/or antisense strands disclosed in Tables 2, 3, 4, 5, 6, 7, and 11.

The MUC5AC RNAi agents described herein can be synthesized having a reactive group, such as an amino group (also referred to herein as an amine), at the 5′-terminus and/or the 3′-terminus. The reactive group can be used subsequently to attach a targeting moiety using methods typical in the art.

For example, in some embodiments, the MUC5AC RNAi agents disclosed herein can be synthesized having an NH₂-C₆ group at the 5′-terminus of the sense strand of the RNAi agent. The terminal amino group subsequently can be reacted to form a conjugate with, for example, a group that includes an αvβ6 integrin targeting ligand. In some embodiments, the MUC5AC RNAi agents disclosed herein are synthesized having one or more alkyne groups at the 5′-terminus of the sense strand of the RNAi agent. The terminal alkyne group(s) can subsequently be reacted to form a conjugate with, for example, a group that includes an αvβ6 integrin targeting ligand.

In some embodiments, a targeting group comprises an integrin targeting ligand. In some embodiments, an integrin targeting ligand is an αvβ6 integrin targeting ligand. The use of an αvβ6 integrin targeting ligand facilitates cell-specific targeting to cells having αvβ6 on its respective surface, and binding of the integrin targeting ligand can facilitate entry of the therapeutic agent, such as an RNAi agent, to which it is linked, into cells such as epithelial cells, including pulmonary epithelial cells and renal epithelial cells. Integrin targeting ligands can be monomeric or monovalent (e.g., having a single integrin targeting moiety) or multimeric or multivalent (e.g., having multiple integrin targeting moieties). The targeting group can be attached to the 3′ and/or 5′ end of the RNAi oligonucleotide using methods known in the art. The preparation of targeting groups, such as αvβ6 integrin targeting ligands, is described, for example, in International Patent Application Publication No. WO 2018/085415 and in International Patent Application Publication No. WO 2019/089765, the contents of each of which are incorporated herein in its entirety.

In some embodiments, targeting groups are linked to the MUC5AC RNAi agents without the use of an additional linker. In some embodiments, the targeting group is designed having a linker readily present to facilitate the linkage to a MUC5AC RNAi agent. In some embodiments, when two or more RNAi agents are included in a composition, the two or more RNAi agents can be linked to their respective targeting groups using the same linkers. In some embodiments, when two or more RNAi agents are included in a composition, the two or more RNAi agents are linked to their respective targeting groups using different linkers.

In some embodiments, a linking group is conjugated to the RNAi agent. The linking group facilitates covalent linkage of the agent to a targeting group, pharmacokinetic modulator, delivery polymer, or delivery vehicle. The linking group can be linked to the 3′ and/or the 5′ end of the RNAi agent sense strand or antisense strand. In some embodiments, the linking group is linked to the RNAi agent sense strand. In some embodiments, the linking group is conjugated to the 5′ or 3′ end of an RNAi agent sense strand. In some embodiments, a linking group is conjugated to the 5′ end of an RNAi agent sense strand. Examples of linking groups, include but are not limited to: C6-SS-C6, 6-SS-6, reactive groups such a primary amines (e.g., NH2-C6) and alkynes, alkyl groups, abasic residues/nucleotides, amino acids, tri-alkyne functionalized groups, ribitol, and/or PEG groups. Examples of certain linking groups are provided in Table 12.

A linker or linking group is a connection between two atoms that links one chemical group (such as an RNAi agent) or segment of interest to another chemical group (such as a targeting group, pharmacokinetic modulator, or delivery polymer) or segment of interest via one or more covalent bonds. A labile linkage contains a labile bond. A linkage can optionally include a spacer that increases the distance between the two joined atoms. A spacer may further add flexibility and/or length to the linkage. Spacers include, but are not be limited to, alkyl groups, alkenyl groups, alkynyl groups, aryl groups, aralkyl groups, aralkenyl groups, and aralkynyl groups; each of which can contain one or more heteroatoms, heterocycles, amino acids, nucleotides, and saccharides. Spacer groups are well known in the art and the preceding list is not meant to limit the scope of the description. In some embodiments, a MUC5AC RNAi agent is conjugated to a polyethylene glycol (PEG) moiety, or to a hydrophobic group having 12 or more carbon atoms, such as a cholesterol or palmitoyl group.

In some embodiments, a MUC5AC RNAi agent is linked to one or more pharmacokinetic/pharmacodynamic (PK/PD) modulators. PK/PD modulators can increase circulation time of the conjugated drug and/or increase the activity of the RNAi agent through improved cell receptor binding, improved cellular uptake, and/or other means. Various PK/PD modulators suitable for use with RNAi agents are known in the art. In some embodiments, the PK/PD modulatory can be cholesterol or cholesteryl derivatives, or in some circumstances a PK/PD modulator can be comprised of alkyl groups, alkenyl groups, alkynyl groups, aryl groups, aralkyl groups, aralkenyl groups, or aralkynyl groups, each of which may be linear, branched, cyclic, and/or substituted or unsubstituted. In some embodiments, the location of attachment for these moieties is at the 5′ or 3′ end of the sense strand, at the 2′ position of the ribose ring of any given nucleotide of the sense strand, and/or attached to the phosphate or phosphorothioate backbone at any position of the sense strand.

Any of the MUC5AC RNAi agent nucleotide sequences listed in Tables 2, 3, 4, 5, 6, 7, and 11, whether modified or unmodified, can contain 3′ and/or 5′ targeting group(s), linking group(s), and/or PK/PD modulator(s). Any of the MUC5AC RNAi agent sequences listed in Tables 3, 4, 5, 6, 7, and 11, or are otherwise described herein, which contain a 3′ or 5′ targeting group, linking group, and/or PK/PD modulator can alternatively contain no 3′ or 5′ targeting group, linking group, or PK/PD modulator, or can contain a different 3′ or 5′ targeting group, linking group, or pharmacokinetic modulator including, but not limited to, those depicted in Table 12. Any of the MUC5AC RNAi agent duplexes listed in Tables 8A, 8B, 8C, 9, 10A, 10B, and 11, whether modified or unmodified, can further comprise a targeting group or linking group, including, but not limited to, those depicted in Table 11, and the targeting group or linking group can be attached to the 3′ or 5′ terminus of either the sense strand or the antisense strand of the MUC5AC RNAi agent duplex.

Examples of certain modified nucleotides, capping moieties, and linking groups are provided in Table 12.

TABLE 12 Structures Representing Various Modified Nucleotides, Capping Moieties, and Linking Groups (wherein

 indicates the point of connection)

cPrpus

cPrpu

cPrpas

cPrpa

a_2N

a_2Ns When positioned internally:

(invAb) When positioned internally:

(invAb)s When positioned at the 3′ terminal end:

(invAb) When positioned at the 3′ terminal end:

(C6-SS-C6) When positioned internally:

(C6-SS-C6) When positioned at the 3′ terminal end:

(6-SS-6) When positioned internally:

(6-SS-6)

(NH2-C6)

(NH2-C6)s

-C6-

-C6s-

-L6-C6-

-L6-C6s-

-Alk-cyHex-

-Alk-cyHexs-

(TriAlk14)

(TriAlk14)s

(TA14)

(TA14)s

SM6.1-αvβ6

Alternatively, other linking groups known in the art may be used. In many instances, linking groups can be commercially acquired or alternatively, are incorporated into commercially available nucleotide phosphoramidites. (See. e.g., International Patent Application Publication No. WO 2019/161213, which is incorporated herein by reference in its entirety).

In some embodiments, a MUC5AC RNAi agent is delivered without being conjugated to a targeting ligand or pharmacokinetic/pharmacodynamic (PK/PD) modulator (referred to as being “naked” or a “naked RNAi agent”).

In some embodiments, a MUC5AC RNAi agent is conjugated to a targeting group, a linking group, a PK modulator, and/or another non-nucleotide group to facilitate delivery of the MUC5AC RNAi agent to the cell or tissue of choice, for example, to an epithelial cell in vivo. In some embodiments, a MUC5AC RNAi agent is conjugated to a targeting group wherein the targeting group includes an integrin targeting ligand. In some embodiments, the integrin targeting ligand is an αvβ6 integrin targeting ligand. In some embodiments, a targeting group includes one or more αvβ6 integrin targeting ligands.

In some embodiments, a delivery vehicle may be used to deliver an RNAi agent to a cell or tissue. A delivery vehicle is a compound that improves delivery of the RNAi agent to a cell or tissue. A delivery vehicle can include, or consist of, but is not limited to: a polymer, such as an amphipathic polymer, a membrane active polymer, a peptide, a melittin peptide, a melittin-like peptide (MLP), a lipid, a reversibly modified polymer or peptide, or a reversibly modified membrane active polyamine.

In some embodiments, the RNAi agents can be combined with lipids, nanoparticles, polymers, liposomes, micelles, DPCs or other delivery systems available in the art for nucleic acid delivery. The RNAi agents can also be chemically conjugated to targeting groups, lipids (including, but not limited to cholesteryl and cholesteryl derivatives), encapsulating in nanoparticles, liposomes, micelles, conjugating to polymers or DPCs (see, for example WO 2000/053722, WO 2008/022309, WO 2011/104169, and WO 2012/083185, WO 2013/032829, WO 2013/158141, each of which is incorporated herein by reference), by iontophoresis, or by incorporation into other delivery vehicles or systems available in the art such as hydrogels, cyclodextrins, biodegradable nanocapsules, bioadhesive microspheres, or proteinaceous vectors. In some embodiments the RNAi agents can be conjugated to antibodies having affinity for pulmonary epithelial cells. In some embodiments, the RNAi agents can be linked to targeting ligands that have affinity for pulmonary epithelial cells or receptors present on pulmonary epithelial cells.

Pharmaceutical Compositions and Formulations

The MUC5AC RNAi agents disclosed herein can be prepared as pharmaceutical compositions or formulations (also referred to herein as “medicaments”). In some embodiments, pharmaceutical compositions include at least one MUC5AC RNAi agent. These pharmaceutical compositions are particularly useful in the inhibition of the expression of MUC5AC mRNA in a target cell, a group of cells, a tissue, or an organism. The pharmaceutical compositions can be used to treat a subject having a disease, disorder, or condition that would benefit from reduction in the level of the target mRNA, or inhibition in expression of the target gene. The pharmaceutical compositions can be used to treat a subject at risk of developing a disease or disorder that would benefit from reduction of the level of the target mRNA or an inhibition in expression the target gene. In one embodiment, the method includes administering a MUC5AC RNAi agent linked to a targeting ligand as described herein, to a subject to be treated. In some embodiments, one or more pharmaceutically acceptable excipients (including vehicles, carriers, diluents, and/or delivery polymers) are added to the pharmaceutical compositions that include a MUC5AC RNAi agent, thereby forming a pharmaceutical formulation or medicament suitable for in vivo delivery to a subject, including a human.

The pharmaceutical compositions that include a MUC5AC RNAi agent and methods disclosed herein decrease the level of the target mRNA in a cell, group of cells, group of cells, tissue, organ, or subject, including by administering to the subject a therapeutically effective amount of a herein described MUC5AC RNAi agent, thereby inhibiting the expression of MUC5AC mRNA in the subject. In some embodiments, the subject has been previously identified or diagnosed as having a disease or disorder that can be mediated at least in part by a reduction in MUC5AC expression. In some embodiments, the subject has been previously diagnosed with having one or more mucoobstructive lung diseases, such as asthma, CF, COPD, NCFB, PCD. In some embodiments the mucoobstructive lung disease is severe asthma.

In some embodiments the subject has been previously diagnosed with having interstitial lung diseases, cancer (such as lung adenocarcinomas, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, ovarian cancer, and other tumors), respiratory infections (such as respiratory syncytial virus, influenza, rhinovirus), otitis media, inflammatory bowel disease, gallstone disease, allergic rhinitis, chronic rhinosinusitis or nasal polyposis.

Embodiments of the present disclosure include pharmaceutical compositions for delivering a MUC5AC RNAi agent to a pulmonary epithelial cell in vivo. Such pharmaceutical compositions can include, for example, a MUC5AC RNAi agent conjugated to a targeting group that comprises an integrin targeting ligand. In some embodiments, the integrin targeting ligand is comprised of an αvβ6 integrin ligand.

In some embodiments, the described pharmaceutical compositions including a MUC5AC RNAi agent are used for treating or managing clinical presentations in a subject that would benefit from the inhibition of expression of MUC5AC. In some embodiments, a therapeutically or prophylactically effective amount of one or more of pharmaceutical compositions is administered to a subject in need of such treatment. In some embodiments, administration of any of the disclosed MUC5AC RNAi agents can be used to decrease the number, severity, and/or frequency of symptoms of a disease in a subject.

In some embodiments, the described MUC5AC RNAi agents are optionally combined with one or more additional (i.e., second, third, etc.) therapeutics. A second therapeutic can be another MUC5AC RNAi agent (e.g., a MUC5AC RNAi agent that targets a different sequence within a MUC5AC gene). In some embodiments, a second therapeutic can be an RNAi agent that targets the MUC5AC gene. An additional therapeutic can also be a small molecule drug, antibody, antibody fragment, and/or aptamer. The MUC5AC RNAi agents, with or without the one or more additional therapeutics, can be combined with one or more excipients to form pharmaceutical compositions.

The described pharmaceutical compositions that include a MUC5AC RNAi agent can be used to treat at least one symptom in a subject having a disease or disorder that would benefit from reduction or inhibition in expression of MUC5AC mRNA. In some embodiments, the subject is administered a therapeutically effective amount of one or more pharmaceutical compositions that include a MUC5AC RNAi agent thereby treating the symptom. In other embodiments, the subject is administered a prophylactically effective amount of one or more MUC5AC RNAi agents, thereby preventing or inhibiting the at least one symptom.

In some embodiments, one or more of the described MUC5AC RNAi agents are administered to a mammal in a pharmaceutically acceptable carrier or diluent. In some embodiments, the mammal is a human.

The route of administration is the path by which a MUC5AC RNAi agent is brought into contact with the body. In general, methods of administering drugs, oligonucleotides, and nucleic acids, for treatment of a mammal are well known in the art and can be applied to administration of the compositions described herein. The MUC5AC RNAi agents disclosed herein can be administered via any suitable route in a preparation appropriately tailored to the particular route. Thus, in some embodiments, the herein described pharmaceutical compositions are administered via inhalation, intranasal administration, intratracheal administration, or oropharyngeal aspiration administration. In some embodiments, the pharmaceutical compositions can be administered by injection, for example, intravenously, intramuscularly, intracutaneously, subcutaneously, intraarticularly, intraocularly, or intraperitoneally, or topically.

The pharmaceutical compositions including a MUC5AC RNAi agent described herein can be delivered to a cell, group of cells, tissue, or subject using oligonucleotide delivery technologies known in the art. In general, any suitable method recognized in the art for delivering a nucleic acid molecule (in vitro or in vivo) can be adapted for use with the compositions described herein. For example, delivery can be by local administration, (e.g., direct injection, implantation, or topical administering), systemic administration, or subcutaneous, intravenous, intraperitoneal, or parenteral routes, including intracranial (e.g., intraventricular, intraparenchymal and intrathecal), intramuscular, transdermal, airway (aerosol), nasal, oral, rectal, or topical (including buccal and sublingual) administration. In some embodiments, the compositions are administered via inhalation, intranasal administration, oropharyngeal aspiration administration, or intratracheal administration. For example, in some embodiments, it is desired that the MUC5AC RNAi agents described herein inhibit the expression of an MUC5AC gene in the pulmonary epithelium, for which administration via inhalation (e.g., by an inhaler device, such as a metered-dose inhaler, or a nebulizer such as a jet or vibrating mesh nebulizer, or a soft mist inhaler) is particularly suitable and advantageous.

In some embodiments, the pharmaceutical compositions described herein comprise one or more pharmaceutically acceptable excipients. The pharmaceutical compositions described herein are formulated for administration to a subject.

As used herein, a pharmaceutical composition or medicament includes a pharmacologically effective amount of at least one of the described therapeutic compounds and one or more pharmaceutically acceptable excipients. Pharmaceutically acceptable excipients (excipients) are substances other than the Active Pharmaceutical Ingredient (API, therapeutic product, e.g., MUC5AC RNAi agent) that are intentionally included in the drug delivery system. Excipients do not exert or are not intended to exert a therapeutic effect at the intended dosage. Excipients can act to a) aid in processing of the drug delivery system during manufacture, b) protect, support or enhance stability, bioavailability or patient acceptability of the API, c) assist in product identification, and/or d) enhance any other attribute of the overall safety, effectiveness, of delivery of the API during storage or use. A pharmaceutically acceptable excipient may or may not be an inert substance.

Excipients include, but are not limited to: absorption enhancers, anti-adherents, anti-foaming agents, anti-oxidants, binders, buffering agents, carriers, coating agents, colors, delivery enhancers, delivery polymers, detergents, dextran, dextrose, diluents, disintegrants, emulsifiers, extenders, fillers, flavors, glidants, humectants, lubricants, oils, polymers, preservatives, saline, salts, solvents, sugars, surfactants, suspending agents, sustained release matrices, sweeteners, thickening agents, tonicity agents, vehicles, water-repelling agents, and wetting agents.

Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water-soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersion. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor® ELTM (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). It should be stable under the conditions of manufacture and storage and should be preserved against the contaminating action of microorganisms such as bacteria and fungi. The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (for example, glycerol, propylene glycol, and liquid polyethylene glycol), and suitable mixtures thereof. The proper fluidity can be maintained, for example, by the use of a coating such as lecithin, by the maintenance of the required particle size in the case of dispersion and by the use of surfactants. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, and sodium chloride in the composition. Prolonged absorption of the injectable compositions can be brought about by including in the composition an agent which delays absorption, for example, aluminum monostearate and gelatin.

Sterile injectable solutions can be prepared by incorporating the active compound in the required amount in an appropriate solvent with one or a combination of ingredients enumerated above, as required, followed by filter sterilization. Generally, dispersions are prepared by incorporating the active compound into a sterile vehicle which contains a basic dispersion medium and the required other ingredients from those enumerated above. In the case of sterile powders for the preparation of sterile injectable solutions, methods of preparation include vacuum drying and freeze-drying which yields a powder of the active ingredient plus any additional desired ingredient from a previously sterile-filtered solution thereof.

Formulations suitable for intra-articular administration can be in the form of a sterile aqueous preparation of the drug that can be in microcrystalline form, for example, in the form of an aqueous microcrystalline suspension. Liposomal formulations or biodegradable polymer systems can also be used to present the drug for both intra-articular and ophthalmic administration.

Formulations suitable for inhalation administration can be prepared by incorporating the active compound in the desired amount in an appropriate solvent, followed by sterile filtration. In general, formulations for inhalation administration are sterile solutions at physiological pH and have low viscosity (<5 cP). Salts may be added to the formulation to balance tonicity. In some cases, surfactants or co-solvents can be added to increase active compound solubility and improve aerosol characteristics. In some cases, excipients can be added to control viscosity in order to ensure size and distribution of nebulized droplets.

In some embodiments, pharmaceutical formulations that include the MUC5AC RNAi agents disclosed herein suitable for inhalation administration can be prepared in water for injection (sterile water), isotonic saline (0.9% saline), or an aqueous sodium phosphate buffer (for example, the MUC5AC RNAi agent formulated in 0.5 mM sodium phosphate monobasic, 0.5 mM sodium phosphate dibasic, in water).

The active compounds can be prepared with carriers that will protect the compound against rapid elimination from the body, such as a controlled release formulation, including implants and microencapsulated delivery systems. Biodegradable, biocompatible polymers can be used, such as ethylene vinyl acetate, polyanhydrides, polyglycolic acid, collagen, polyorthoesters, and polylactic acid. Methods for preparation of such formulations will be apparent to those skilled in the art. Liposomal suspensions can also be used as pharmaceutically acceptable carriers. These can be prepared according to methods known to those skilled in the art, for example, as described in U.S. Pat. No. 4,522,811.

The MUC5AC RNAi agents can be formulated in compositions in dosage unit form for ease of administration and uniformity of dosage. Dosage unit form refers to physically discrete units suited as unitary dosages for the subject to be treated; each unit containing a predetermined quantity of active compound calculated to produce the desired therapeutic effect in association with the required pharmaceutical carrier. The specification for the dosage unit forms of the disclosure are dictated by and directly dependent on the unique characteristics of the active compound and the therapeutic effect to be achieved, and the limitations inherent in the art of compounding such an active compound for the treatment of individuals.

A pharmaceutical composition can contain other additional components commonly found in pharmaceutical compositions. Such additional components include, but are not limited to: anti-pruritics, astringents, local anesthetics, or anti-inflammatory agents (e.g., antihistamine, diphenhydramine, etc.). It is also envisioned that cells, tissues, or isolated organs that express or comprise the herein defined RNAi agents may be used as “pharmaceutical compositions.” As used herein, “pharmacologically effective amount,” “therapeutically effective amount,” or simply “effective amount” refers to that amount of an RNAi agent to produce a pharmacological, therapeutic, or preventive result.

In some embodiments, the methods disclosed herein further comprise the step of administering a second therapeutic or treatment in addition to administering an RNAi agent disclosed herein. In some embodiments, the second therapeutic is another MUC5AC RNAi agent (e.g., a MUC5AC RNAi agent that targets a different sequence within the MUC5AC target). In other embodiments, the second therapeutic can be a small molecule drug, an antibody, an antibody fragment, and/or an aptamer.

In some embodiments, described herein are compositions that include a combination or cocktail of at least two MUC5AC RNAi agents having different sequences. In some embodiments, the two or more MUC5AC RNAi agents are each separately and independently linked to targeting groups. In some embodiments, the two or more MUC5AC RNAi agents are each linked to targeting groups that include or consist of integrin targeting ligands. In some embodiments, the two or more MUC5AC RNAi agents are each linked to targeting groups that include or consist of αvβ6 integrin targeting ligands.

Described herein are compositions for delivery of MUC5AC RNAi agents to pulmonary epithelial cells. Furthermore, compositions for delivery of MUC5AC RNAi agents to cells, including renal epithelial cells and/or epithelial cells in the GI or reproductive tract and/or and ocular surface epithelial cells in the eye, in vivo, are generally described herein.

Generally, an effective amount of a MUC5AC RNAi agent disclosed herein will be in the range of from about 0.0001 to about 20 mg/kg of body weight/pulmonary deposited dose (PDD), e.g., from about 0.001 to about 5 mg/kg of body weight/pulmonary deposited dose. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.01 mg/kg to about 3.0 mg/kg of body weight per pulmonary deposited dose. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.03 mg/kg to about 2.0 mg/kg of body weight per pulmonary deposited dose. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.01 to about 1.0 mg/kg of pulmonary deposited dose per body weight. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.25 to about 1.0 mg/kg of pulmonary deposited dose per body weight. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.25 mg/kg of pulmonary deposited dose per body weight. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 0.50 mg/kg of pulmonary deposited dose per body weight. In some embodiments, an effective amount of a MUC5AC RNAi agent will be in the range of from about 1.0 mg/kg of pulmonary deposited dose per body weight. Calculating the pulmonary deposited dose (PDD) is done in accordance with methods known in the art. (See Wolff R. K., Dorato M. A., Toxicologic Testing of Inhaled Pharmaceutical Aerosols, Crit Rev Toxicol., 1993; 23(4):343-369; Tepper et al., International J. Toxicology, 2016, vol. 35(4):376-392). A comparable and alternatively acceptable method of calculating dose that is well known in the art, especially for human subjects, is determining the respirable delivered dose (RDD). RDD refers to the amount of drug contained in droplets of a size suitable for penetration into the lungs. Generally, an effective amount of a MUC5AC RNAi agent disclosed herein will be in the range of from about 0.001 to about 5 mg respirable delivered dose (RDD)/kg body weight.

For clinical applications, the amount of MUC5AC RNAi agent needed to be loaded into the delivery device of choice (e.g., a nebulizer) that is required to produce such RDDs in human subjects will depend upon the delivery device used (see, for example. Hatley RHM, Byrne SM, Variability in delivered dose and respirable delivered dose from nebulizers: are current regulatory testing guidelines sufficient to produce meaningful information?, Med Devices, 2017, 10:17-28). Some lower efficient nebulizers, for example, RDD is approximately 15%-25% of the dose loaded into the nebulizer. For other more efficient devices, for example, RDD is approximately 50%, approximately 60%, or even higher than 60% of the dose loaded into the nebulizer. In some embodiments, a fixed dose of, for example, approximately 5 mg, approximately 10 gm, approximately 20 mg, approximately 25 mg, approximately 50 mg, approximately 75 mg, approximately 100 mg, approximately 150 mg, approximately 200 mg, approximately 250 mg, or approximately 300 mg of MUC5AC RNAi agent may be loaded into the respective device of choice, which will produce an RDD from about 0.001 to about 5 mg/kg of body weight per dose. The amount desired or required to be administered will also likely depend on such variables as the overall health status of the patient, the relative biological efficacy of the compound delivered, the formulation of the drug, the presence and types of excipient in the formulation, and the route of administration. Also, it is to be understood that the initial dosage administered can be increased beyond the above upper level to rapidly achieve the desired blood-level or tissue-level, or the initial dosage can be smaller than the optimum. In various embodiments, a dose may be administered daily, weekly, bi-weekly, tri-weekly, once monthly, once quarterly (i.e. once every three months), or once every six months. In various embodiments, a dose may be administered at other intervals contained within the range provided above.

For treatment of disease or for formation of a medicament or composition for treatment of a disease, the pharmaceutical compositions described herein including a MUC5AC RNAi agent can be combined with an excipient or with a second therapeutic agent or treatment including, but not limited to: a second or other RNAi agent, a small molecule drug, an antibody, an antibody fragment, peptide, and/or an aptamer.

The described MUC5AC RNAi agents, when added to pharmaceutically acceptable excipients or adjuvants, can be packaged into kits, containers, packs, or dispensers. The pharmaceutical compositions described herein can be packaged in dry powder or aerosol inhalers, other metered-dose inhalers, nebulizers, pre-filled syringes, or vials.

Methods of Treatment and Inhibition of MUC5AC Expression

The MUC5AC RNAi agents disclosed herein can be used to treat a subject (e.g., a human or other mammal) having a disease or disorder that would benefit from administration of the RNAi agent. In some embodiments, the RNAi agents disclosed herein can be used to treat a subject (e.g., a human) that would benefit from a reduction and/or inhibition in expression of MUC5AC mRNA and/or a reduction in MUC5AC receptor levels.

In some embodiments, the RNAi agents disclosed herein can be used to treat a subject (e.g., a human) having a disease or disorder for which the subject would benefit from reduction in MUC5AC receptors, including but not limited to, mucoobstructive lung diseases (such as asthma, CF, COPD, NCFB, PCD), allergic bronchopulmonary aspergillosis, interstitial lung diseases, cancer (such as lung adenocarcinomas, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, ovarian cancer, and other tumors), respiratory infections (such as respiratory syncytial virus, influenza, rhinovirus), otitis media, inflammatory bowel disease, gallstone disease, allergic rhinitis, chronic rhinosinusitis and nasal polyposis. In some embodiments the pulmonary diseases is severe asthma. Treatment of a subject can include therapeutic and/or prophylactic treatment. The subject is administered a therapeutically effective amount of any one or more MUC5AC RNAi agents described herein. The subject can be a human, patient, or human patient. The subject may be an adult, adolescent, child, or infant. Administration of a pharmaceutical composition described herein can be to a human being or animal.

Increased membrane MUC5AC activity is known to promote mucoobstruction tissues. In some embodiments, the described MUC5AC RNAi agents are used to treat at least one symptom mediated at least in part by a reduction in MUC5AC levels, in a subject. The subject is administered a therapeutically effective amount of any one or more of the described MUC5AC RNAi agents. In some embodiments, the subject is administered a prophylactically effective amount of any one or more of the described RNAi agents, thereby treating the subject by preventing or inhibiting the at least one symptom.

In certain embodiments, the present disclosure provides methods for treatment of diseases, disorders, conditions, or pathological states mediated at least in part by MUC5AC gene expression, in a patient in need thereof, wherein the methods include administering to the patient any of the MUC5AC RNAi agents described herein.

In some embodiments, the MUC5AC RNAi agents are used to treat or manage a clinical presentation or pathological state in a subject, wherein the clinical presentation or pathological state is mediated at least in part by a reduction in MUC5AC expression. The subject is administered a therapeutically effective amount of one or more of the MUC5AC RNAi agents or MUC5AC RNAi agent-containing compositions described herein. In some embodiments, the method comprises administering a composition comprising a MUC5AC RNAi agent described herein to a subject to be treated.

In a further aspect, the disclosure features methods of treatment (including prophylactic or preventative treatment) of diseases or symptoms that may be addressed by a reduction in MUC5AC receptor levels, the methods comprising administering to a subject in need thereof a MUC5AC RNAi agent that includes an antisense strand comprising the sequence of any of the sequences in Table 2, Table 3, or Table 11. Also described herein are compositions for use in such methods.

The described MUC5AC RNAi agents and/or compositions that include MUC5AC RNAi agents can be used in methods for therapeutic treatment of disease or conditions caused by enhanced or elevated MUC5AC protein or MUC5AC gene expression. Such methods include administration of a MUC5AC RNAi agent as described herein to a subject, e.g., a human or animal subject.

In another aspect, the disclosure provides methods for the treatment (including prophylactic treatment) of a pathological state (such as a condition or disease) mediated at least in part by MUC5AC expression, wherein the methods include administering to a subject a therapeutically effective amount of an RNAi agent that includes an antisense strand comprising the sequence of any of the sequences in Table 2, Table 3, or Table 11.

In some embodiments, methods for inhibiting expression of an MUC5AC gene are disclosed herein, wherein the methods include administering to a cell an RNAi agent that includes an antisense strand comprising the sequence of any of the sequences in Table 2, Table 3, or Table 11.

In some embodiments, methods for the treatment (including prophylactic treatment) of a pathological state mediated at least in part by MUC5AC expression are disclosed herein, wherein the methods include administering to a subject a therapeutically effective amount of an RNAi agent that includes a sense strand comprising the sequence of any of the sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

In some embodiments, methods for inhibiting expression of an MUC5AC gene are disclosed herein, wherein the methods comprise administering to a cell an RNAi agent that includes a sense strand comprising the sequence of any of the sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

In some embodiments, methods for the treatment (including prophylactic treatment) of a pathological state mediated at least in part by MUC5AC expression are disclosed herein, wherein the methods include administering to a subject a therapeutically effective amount of an RNAi agent that includes a sense strand comprising the sequence of any of the sequences in Table 4, Table 5, Table 6, Table 7, or Table 11, and an antisense strand comprising the sequence of any of the sequences in Table 3 or Table 11.

In some embodiments, methods for inhibiting expression of a MUC5AC gene are disclosed herein, wherein the methods include administering to a cell an RNAi agent that includes a sense strand comprising the sequence of any of the sequences in Table 4, Table 5, Table 6, Table 7, or Table 11, and an antisense strand comprising the sequence of any of the sequences in Table 3 or Table 11.

In some embodiments, methods of inhibiting expression of a MUC5AC gene are disclosed herein, wherein the methods include administering to a subject a MUC5AC RNAi agent that includes a sense strand consisting of the nucleobase sequence of any of the sequences in Table 4, Table 5, Table 6, Table 7, or Table 11, and the antisense strand consisting of the nucleobase sequence of any of the sequences in Table 3 or Table 11. In other embodiments, disclosed herein are methods of inhibiting expression of a MUC5AC gene, wherein the methods include administering to a subject a MUC5AC RNAi agent that includes a sense strand consisting of the modified sequence of any of the modified sequences in Table 4, Table 5, Table 6, Table 7, or Table 11, and the antisense strand consisting of the modified sequence of any of the modified sequences in Table 3 or Table 11.

In some embodiments, methods for inhibiting expression of an MUC5AC gene in a cell are disclosed herein, wherein the methods include administering one or more MUC5AC RNAi agents comprising a duplex structure of one of the duplexes set forth in Tables 8A, 8B, 8C, 9, 10A, 10B, and 11.

In some embodiments, the quantity or amount of MUC5AC protein and/or MUC5AC mRNA in certain pulmonary epithelial cells of subject to whom a described MUC5AC RNAi agent is administered is reduced by at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, or greater than 99%, relative to the subject prior to being administered the MUC5AC RNAi agent or to a subject not receiving the MUC5AC RNAi agent. In some embodiments, MUC5AC protein levels in certain epithelial cells of a subject to whom a described MUC5AC RNAi agent is administered is reduced by at least about 5%, 10%, 15%, 20%, 25%, 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 96%, 97%, 98%, 99%, or greater than 99%, relative to the subject prior to being administered the MUC5AC RNAi agent or to a subject not receiving the MUC5AC RNAi agent. The gene expression level, protein level, and/or mRNA level in the subject may be reduced in a cell, group of cells, and/or tissue of the subject. In some embodiments, the MUC5AC mRNA levels in certain epithelial cells subject to whom a described MUC5AC RNAi agent has been administered is reduced by at least about 30%, 35%, 40%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 98% relative to the subject prior to being administered the MUC5AC RNAi agent or to a subject not receiving the MUC5AC RNAi agent.

A reduction in MUC5AC mRNA and MUC5AC protein levels can be assessed by any methods known in the art. Reduction or decrease in MUC5AC mRNA and/or MUC5AC protein levels are collectively referred to herein as a decrease in, reduction of, or inhibition of MUC5AC gene expression. The Examples set forth herein illustrate known methods for assessing inhibition of MUC5AC.

Cells, Tissues, Organs, and Non-Human Organisms

Cells, tissues, organs, and non-human organisms that include at least one of the MUC5AC RNAi agents described herein are contemplated. The cell, tissue, organ, or non-human organism is made by delivering the RNAi agent to the cell, tissue, organ, or non-human organism.

ADDITIONAL ILLUSTRATIVE EMBODIMENTS

Provided here are certain additional illustrative embodiments of the disclosed technology. These embodiments are illustrative only and do not limit the scope of the present disclosure or of the claims attached hereto.

Embodiment 1. An RNAi agent for inhibiting expression of a Mucin 5AC gene, comprising: an antisense strand comprising at least 17 contiguous nucleotides differing by 0 or 1 nucleotides from any one of the sequences provided in Table 2 or Table 3; and a sense strand comprising a nucleotide sequence that is at least partially complementary to the antisense strand

Embodiment 2. The RNAi agent of Embodiment 1, wherein the antisense strand comprises nucleotides 2-18 of any one of the sequences provided in Table 2 or Table 3.

Embodiment 3. The RNAi agent of Embodiment 1 or Embodiment 2, wherein the sense strand comprises a nucleotide sequence of at least 17 contiguous nucleotides differing by 0 or 1 nucleotides from any one of the sequences provided in Table 2 or Table 4, and wherein the sense strand has a region of at least 85% complementarity over the 17 contiguous nucleotides to the antisense strand.

Embodiment 4. The RNAi agent of any one of Embodiments 1-3, wherein at least one nucleotide of the RNAi agent is a modified nucleotide or includes a modified internucleoside linkage.

Embodiment 5. The RNAi agent of any one of Embodiments 1-4, wherein all or substantially all of the nucleotides are modified nucleotides.

Embodiment 6. The RNAi agent of any one of Embodiments 4-5, wherein the modified nucleotide is selected from the group consisting of: 2′-O-methyl nucleotide, 2′-fluoro nucleotide, 2′-deoxy nucleotide, 2′,3′-seco nucleotide mimic, locked nucleotide, 2′-F-arabino nucleotide, 2′-methoxyethyl nucleotide, abasic nucleotide, ribitol, inverted nucleotide, inverted 2′-O-methyl nucleotide, inverted 2′-deoxy nucleotide, 2′-amino-modified nucleotide, 2′-alkyl-modified nucleotide, morpholino nucleotide, vinyl phosphonate-containing nucleotide, cyclopropyl phosphonate-containing nucleotide, and 3′-O-methyl nucleotide.

Embodiment 7. The RNAi agent of Embodiment 5, wherein all or substantially all of the nucleotides are modified with 2′-O-methyl nucleotides, 2′-fluoro nucleotides, or combinations thereof

Embodiment 8. The RNAi agent of any one of Embodiments 1-7, wherein the antisense strand comprises the nucleotide sequence of any one of the modified antisense strand sequences provided in Table 3 or Table 11.

Embodiment 9. The RNAi agent of any one of Embodiments 1-8, wherein the sense strand comprises the nucleotide sequence of any one of the modified sense strand sequences provided in Table 4 or Table 11.

Embodiment 10. The RNAi agent of Embodiment 1, wherein the antisense strand comprises the nucleotide sequence of any one of the modified antisense strand sequences provided in Table 3 or Table 11, and the sense strand comprises the nucleotide sequence of any one of the modified sense strand sequences provided in Table 4 or Table 11.

Embodiment 11. The RNAi agent of any one of Embodiments 1-10, wherein the sense strand is between 18 and 30 nucleotides in length, and the antisense strand is between 18 and 30 nucleotides in length.

Embodiment 12. The RNAi agent of Embodiment 11, wherein the sense strand and the antisense strand are each between 18 and 27 nucleotides in length.

Embodiment 13. The RNAi agent of Embodiment 12, wherein the sense strand and the antisense strand are each between 18 and 24 nucleotides in length.

Embodiment 14. The RNAi agent of Embodiment 13, wherein the sense strand and the antisense strand are each 21 nucleotides in length.

Embodiment 15. The RNAi agent of Embodiment 14, wherein the RNAi agent has two blunt ends.

Embodiment 16. The RNAi agent of any one of Embodiments 1-15, wherein the sense strand comprises one or two terminal caps.

Embodiment 17. The RNAi agent of any one of Embodiments 1-16, wherein the sense strand comprises one or two inverted abasic residues.

Embodiment 18. The RNAi agent of Embodiment 1, wherein the RNAi agent is comprised of a sense strand and an antisense strand that form a duplex having the structure of any one of the duplexes in Table 8A, Table 8B, Table 8C, Table 9, Table 10A, or Table 10B.

Embodiment 19. The RNAi agent of Embodiment 18, wherein all or substantially all of the nucleotides are modified nucleotides.

Embodiment 20. The RNAi agent of Embodiment 1, wherein the antisense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 79)   UUGUAGUAGUCGCAGAACA; or (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA.

Embodiment 21. The RNAi agent of Embodiment 1, wherein the antisense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1525)   UUGUAGUAGUCGCAGAACAGC; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC.

Embodiment 22. The RNAi agent of Embodiment 1, wherein the sense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 568)   UGUUCUGCGACUACUACAA; or (SEQ ID NO: 572) UGAUUUGCCUGAACAAGAA.

Embodiment 23. The RNAi agent of Embodiment 20, 21, or 22, wherein all or substantially all of the nucleotides are modified nucleotides

Embodiment 24. The RNAi agent of Embodiment 1, wherein the antisense strand comprises, consists of, or consists essentially of a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1127)   cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc; or (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc; wherein a, c, g, and u represent 2′-O-methyl adenosine, 2′-O-methyl cytidine, 2′-O-methyl guanosine, and 2′-O-methyl uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, 2′-fluoro cytidine, 2′-fluoro guanosine, and 2′-fluoro uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyl uridine; s represents a phosphorothioate linkage; and wherein all or substantially all of the nucleotides on the sense strand are modified nucleotides.

Embodiment 25. The RNAi agent of Embodiment 1, wherein the sense strand comprises, consists of, or consists essentially of a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′):

(SEQ ID NO: 1265)   gscuguucuGfCfGfacuacuacaa; or (SEQ ID NO: 1315) gscugauUfuGfcCfugaacaagaa; wherein a, c, g, and u represent 2′-O-methyl adenosine, 2′-O-methyl cytidine, 2′-O-methyl guanosine, and 2′-O-methyl uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, 2′-fluoro cytidine, 2′-fluoro guanosine, and 2′-fluoro uridine, respectively; and s represents a phosphorothioate linkage; and wherein all or substantially all of the nucleotides on the antisense strand are modified nucleotides.

Embodiment 26. The RNAi agent of any one of Embodiments 20-25, wherein the sense strand further includes inverted abasic residues at the 3′ terminal end of the nucleotide sequence, at the 5′ end of the nucleotide sequence, or at both.

Embodiment 27. The RNAi agent of any one of Embodiments 1-26, wherein the RNAi agent is linked to a targeting ligand.

Embodiment 28. The RNAi agent of Embodiment 27, wherein the targeting ligand has affinity for a cell receptor expressed on an epithelial cell.

Embodiment 29. The RNAi agent of Embodiment 28, wherein the targeting ligand comprises an integrin targeting ligand.

Embodiment 30. The RNAi agent of Embodiment 29, wherein the integrin targeting ligand is an αvβ6 integrin targeting ligand.

Embodiment 31. The RNAi agent of Embodiment 30, wherein the targeting ligand comprises the structure:

or a pharmaceutically acceptable salt thereof, or

or a pharmaceutically acceptable salt thereof, wherein

indicates the point of connection to the RNAi agent.

Embodiment 32. The RNAi agent of any one of Embodiments 27-30, wherein RNAi agent is conjugated to a targeting ligand having the following structure:

or a pharmaceutically acceptable salt thereof, wherein

indicates the point of connection to the RNAi agent.

Embodiment 33. The RNAi agent of any one of Embodiments 27-30, wherein the targeting ligand has the following structure:

or a pharmaceutically acceptable salt thereof, wherein

indicates the point of connection to the RNAi agent.

Embodiment 34. The RNAi agent of any one of Embodiments 27-33, wherein the targeting ligand is conjugated to the sense strand.

Embodiment 35. The RNAi agent of Embodiment 34, wherein the targeting ligand is conjugated to the 5′ terminal end of the sense strand.

Embodiment 36. A composition comprising the RNAi agent of any one of Embodiments 1-35, wherein the composition further comprises a pharmaceutically acceptable excipient.

Embodiment 37. The composition of Embodiment 36, further comprising a second RNAi agent capable of inhibiting the expression of Mucin 5AC gene expression.

Embodiment 38. The composition of any one of Embodiments 36-37, further comprising one or more additional therapeutics.

Embodiment 39. The composition of any one of Embodiments 36-38, wherein the composition is formulated for administration by inhalation.

Embodiment 40. The composition of Embodiment 39, wherein the composition is delivered by a metered-dose inhaler, jet nebulizer, vibrating mesh nebulizer, or soft mist inhaler.

Embodiment 41. The composition of any of Embodiments 36-40, wherein the RNAi agent is a sodium salt.

Embodiment 42. The composition of any of Embodiments 36-41, wherein the pharmaceutically acceptable excipient is water for injection.

Embodiment 43. The composition of any of Embodiments 36-42, wherein the pharmaceutically acceptable excipient is isotonic saline.

Embodiment 44. A method for inhibiting expression of a MUC5AC gene in a cell, the method comprising introducing into a cell an effective amount of an RNAi agent of any one of Embodiments 1-35 or the composition of any one of Embodiments 36-43.

Embodiment 45. The method of Embodiment 44, wherein the cell is within a subject.

Embodiment 46. The method of Embodiment 45, wherein the subject is a human subject.

Embodiment 47. The method of any one of claims 44-46, wherein following the administration of the RNAi agent the Mucin 5AC gene expression is inhibited by at least about 30%.

Embodiment 48. A method of treating one or more symptoms or diseases associated with MUC5AC protein levels, the method comprising administering to a human subject in need thereof a therapeutically effective amount of the composition of any one of Embodiments 36-43.

Embodiment 49. The method of Embodiment 48, wherein the disease is a mucoobstructive lung disease.

Embodiment 50. The method of Embodiment 49, wherein the mucoobstructive lung disease is asthma (including severe asthma), cystic fibrosis (CF), bronchiectasis (NCFB), or chronic obstructive pulmonary disease (COPD).

Embodiment 51. The method of Embodiment 50, wherein the disease is asthma (including severe asthma).

Embodiment 52. The method of Embodiment 48, wherein the disease is cancer.

Embodiment 53. The method of Embodiment 52, wherein the cancer is lung adenocarcinoma, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, or ovarian cancer.

Embodiment 54. The method of any one of Embodiments 44-53, wherein the RNAi agent is administered at a pulmonary deposited dose (PDD) of about 0.01 mg/kg to about 5.0 mg/kg of body weight of the subject.

Embodiment 55. The method of any one of Embodiments 44-53, wherein the RNAi agent is administered at a pulmonary deposited dose (PDD) of about 0.1 mg/kg to about 2.0 mg/kg of body weight of the subject.

Embodiment 56. The method of any one of Embodiments 44-53, wherein the RNAi agent is administered at a respirable delivered dose (RDD) of about 0.01 mg/kg to about 5.0 mg/kg of body weight of the subject.

Embodiment 57. The method of any one of Embodiments 44-53, wherein the RNAi agent is administered at a respirable delivered dose (RDD) of about 0.1 mg/kg to about 2.0 mg/kg of body weight of the subject.

Embodiment 58. The method of any of Embodiments 44-57, wherein the RNAi agent is administered in two or more doses.

Embodiment 59. Use of the RNAi agent of any one of Embodiments 1-35, for the treatment of a disease, disorder, or symptom that is mediated at least in part by Mucin 5AC protein levels.

Embodiment 60. Use of the composition according to any one of Embodiments 36-43, for the treatment of a disease, disorder, or symptom that is mediated at least in part by Mucin 5AC gene expression.

Embodiment 61. Use of the composition according to any one of Embodiments 36-43, for the manufacture of a medicament for treatment of a disease, disorder, or symptom that is mediated at least in part by Mucin 5AC gene expression.

Embodiment 62. The use of any one of Embodiments 59-61, wherein the disease is asthma (including severe asthma).

Embodiment 63. A method of making an RNAi agent of any one of Embodiments 1-35, comprising annealing a sense strand and an antisense strand to form a double-stranded ribonucleic acid molecule.

Embodiment 64. The method of Embodiment 63, wherein the sense strand comprises a targeting ligand.

Embodiment 65. The method of Embodiment 64, comprising conjugating a targeting ligand to the sense strand.

Embodiment 66. An RNAi agent for inhibiting expression of a Mucin 5AC gene, comprising:

an antisense strand comprising at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from any one of the sequences provided in Table 2, Table 3, or Table 11; and a sense strand comprising a nucleotide sequence that is at least partially complementary to the antisense strand.

Embodiment 67. An RNAi agent for inhibiting expression of a Mucin 5AC (MUC5AC) gene, comprising:

an antisense strand comprising at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from any one of the sequences disclosed in Table 2 or Table 3; and a sense strand comprising a nucleotide sequence that is at least partially complementary to the antisense strand.

Embodiment 68. An RNAi agent for inhibiting expression of a Mucin 5AC (MUC5AC) gene, comprising:

a sense strand comprising at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from a stretch of the same length of nucleotides of SEQ ID NO:1; and an antisense strand comprising a nucleotide sequence that is at least partially complementary to the sense strand.

Embodiment 69. An inhibitor of a MUC5AC gene comprising an antisense nucleotide sequence having at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides that are complementary to any of the target nucleotide sequences in Table 1.

Embodiment 70. An RNAi agent comprising (i) an antisense strand comprising a nucleotide sequence having at least 15 contiguous nucleotides differing by 0, 1, 2, or 3 nucleotides from any of the nucleotide sequences in Table 2, Table 3 or Table 11, and (ii) a sense strand at least partially complementary to the antisense strand.

Embodiment 71. An RNAi agent comprising (i) an antisense strand comprising, consisting of, or consisting essentially of a nucleotide sequence from any of the antisense strand nucleotide sequences in Table 2, Table 3 or Table 11, and (ii) a sense strand comprising, consisting of, or consisting essentially of a nucleotide sequence from any of the sense strand nucleotide sequences in Table 2, Table 4, Table 5, Table 6, Table 7, or Table 11.

Embodiment 72. An RNAi agent comprising an antisense strand and sense strand annealed to form a duplex, wherein the duplex has the structure of any of the duplexes set forth in Table 8A, Table 8B, Table 8C, Table 9, Table 10, or Table 11.

Embodiment 73. An RNAi agent for inhibiting expression of a Mucin 5AC gene, comprising:

-   -   an antisense strand comprising at least 17 contiguous         nucleotides differing by 0 or 1 nucleotides from any one of the         sequences provided in Table 2 or Table 3; and     -   a sense strand comprising a nucleotide sequence that is at least         partially complementary to the antisense strand,         wherein optionally all or substantially all of the nucleotides         of the sense strand and the antisense strand modified         nucleotides, and wherein the sense strand is optionally linked         to a targeting ligand.

The above provided embodiments and items are now illustrated with the following, non-limiting examples.

EXAMPLES Example 1. Synthesis of MUC5AC RNAi Agents

MUC5AC RNAi agent duplexes disclosed herein were synthesized in accordance with the following:

A. Synthesis.

The sense and antisense strands of the MUC5AC RNAi agents were synthesized according to phosphoramidite technology on solid phase used in oligonucleotide synthesis. Depending on the scale, a MerMade96E® (Bioautomation), a MerMade12® (Bioautomation), or an OP Pilot 100 (GE Healthcare) was used. Syntheses were performed on a solid support made of controlled pore glass (CPG, 500 Å or 600 Å, obtained from Prime Synthesis, Aston, Pa., USA). All RNA and 2′-modified RNA phosphoramidites were purchased from Thermo Fisher Scientific (Milwaukee, Wis., USA). Specifically, the 2′-O-methyl phosphoramidites that were used included the following: (5′-O-dimethoxytrityl-N⁶-benzoyl)-2′-O-methyl-adenosine-3′-O-(2-cyanoethyl-N,N-diisopropylamino) phosphoramidite, 5′-O-dimethoxy-trityl-N⁴-(acetyl)-2′-O-methyl-cytidine-3′-O-(2-cyanoethyl-N,N-diisopropyl-amino) phosphoramidite, (5′-O-dimethoxytrityl-N²-(isobutyryl)-2′-O-methyl-guanosine-3′-O-(2-cyanoethyl-N,N-diisopropylamino) phosphoramidite, and 5′-O-dimethoxytrityl-2′-O-methyl-uridine-3′-O-(2-cyanoethyl-N,N-diisopropylamino) phosphoramidite. The 2′-deoxy-2′-fluoro-phosphoramidites carried the same protecting groups as the 2′-O-methyl RNA amidites. 5′-dimethoxytrityl-2′-O-methyl-inosine-3′-O-(2-cyanoethyl-N,N-diisopropylamino) phosphoramidites were purchased from Glen Research (Virginia). The inverted abasic (3′-O-dimethoxytrityl-2′-deoxyribose-5′-O-(2-cyanoethyl-N,N-diisopropylamino) phosphoramidites were purchased from ChemGenes (Wilmington, Mass., USA). The following UNA phosphoramidites were used: 5′-(4,4′-Dimethoxytrityl)-N6-(benzoyl)-2′,3′-seco-adenosine, 2′-benzoyl-3′-[(2-cyanoethyl)-(N,N-diisopropyl)]-phosphoramidite, 5′-(4,4′-Dimethoxytrityl)-N-acetyl-2′,3′-seco-cytosine, 2′-benzoyl-3′-[(2-cyanoethyl)-(N,N-diiso-propyl)]-phosphoramidite, 5′-(4,4′-Dimethoxytrityl)-N-isobutyryl-2′,3′-seco-guanosine, 2′-benzoyl-3′-[(2-cyanoethyl)-(N,N-diisopropyl)]-phosphoramidite, and 5′-(4,4′-Dimethoxy-trityl)-2′,3′-seco-uridine, 2′-benzoyl-3′-[(2-cyanoethyl)-(N,N-diiso-propyl)]-phosphoramidite. TFA aminolink phosphoramidites were also commercially purchased (ThermoFisher). Linker L6 was purchased as propargyl-PEG5-NHS from BroadPharm (catalog #BP-20907) and coupled to the NH₂-C₆ group from an aminolink phosphoramidite to form -L6-C6-, using standard coupling conditions. The linker Alk-cyHex was similarly commercially purchased from Lumiprobe (alkyne phosphoramidite, 5′-terminal) as a propargyl-containing compound phosphoramidite compound to form the linker -Alk-cyHex-. In each case, phosphorothioate linkages were introduced as specified using the conditions set forth herein. The cyclopropyl phosphonate phosphoramidites were synthesized in accordance with International Patent Application Publication No. WO 2017/214112 (see also Altenhofer et. al., Chem. Communications (Royal Soc. Chem.), 57(55):6808-6811 (2021)).

Tri-alkyne-containing phosphoramidites were dissolved in anhydrous dichloromethane or anhydrous acetonitrile (50 mM), while all other amidites were dissolved in anhydrous acetonitrile (50 mM) and molecular sieves (3 Å) were added. 5-Benzylthio-1H-tetrazole (BTT, 250 mM in acetonitrile) or 5-Ethylthio-1H-tetrazole (ETT, 250 mM in acetonitrile) was used as activator solution. Coupling times were 10 minutes (RNA), 90 seconds (2′ O-Me), and 60 seconds (2′ F). In order to introduce phosphorothioate linkages, a 100 mM solution of 3-phenyl 1,2,4-dithiazoline-5-one (POS, obtained from PolyOrg, Inc., Leominster, Mass., USA) in anhydrous acetonitrile was employed.

Alternatively, tri-alkyne moieties were introduced post-synthetically (see section E, below). For this route, the sense strand was functionalized with a 5′ and/or 3′ terminal nucleotide containing a primary amine. TFA aminolink phosphoramidite was dissolved in anhydrous acetonitrile (50 mM) and molecular sieves (3 Å) were added. 5-Benzylthio-1H-tetrazole (BTT, 250 mM in acetonitrile) or 5-Ethylthio-1H-tetrazole (ETT, 250 mM in acetonitrile) was used as activator solution. Coupling times were 10 minutes (RNA), 90 seconds (2′ O-Me), and 60 seconds (2′ F). In order to introduce phosphorothioate linkages, a 100 mM solution of 3-phenyl 1,2,4-dithiazoline-5-one (POS, obtained from PolyOrg, Inc., Leominster, Mass., USA) in anhydrous acetonitrile was employed.

B. Cleavage and Deprotection of Support Bound Oligomer.

After finalization of the solid phase synthesis, the dried solid support was treated with a 1:1 volume solution of 40 wt. % methylamine in water and 28% to 31% ammonium hydroxide solution (Aldrich) for 1.5 hours at 30° C. The solution was evaporated and the solid residue was reconstituted in water (see below).

C. Purification.

Crude oligomers were purified by anionic exchange HPLC using a TSKgel SuperQ-5PW 13 μm column and Shimadzu LC-8 system. Buffer A was 20 mM Tris, 5 mM EDTA, pH 9.0 and contained 20% Acetonitrile and buffer B was the same as buffer A with the addition of 1.5 M sodium chloride. UV traces at 260 nm were recorded. Appropriate fractions were pooled then run on size exclusion HPLC using a GE Healthcare XK 16/40 column packed with Sephadex G-25 fine with a running buffer of 100 mM ammonium bicarbonate, pH 6.7 and 20% Acetonitrile or filtered water. Alternatively, pooled fractions were desalted and exchanged into an appropriate buffer or solvent system via tangential flow filtration.

D. Annealing.

Complementary strands were mixed by combining equimolar RNA solutions (sense and antisense) in 1×PBS (Phosphate-Buffered Saline, 1×, Corning, Cellgro) to form the RNAi agents. Some RNAi agents were lyophilized and stored at −15 to −25° C. Duplex concentration was determined by measuring the solution absorbance on a UV-Vis spectrometer in 1×PBS. The solution absorbance at 260 nm was then multiplied by a conversion factor (0.050 mg/(mL cm)) and the dilution factor to determine the duplex concentration.

E. Conjugation of Tri-Alkyne Linker.

In some embodiments a tri-alkyne linker is conjugated to the sense strand of the RNAi agent on resin as a phosphoramidite (see Example 1G for the synthesis of an example tri-alkyne linker phosphoramidite and Example 1A for the conjugation of the phosphoramidite.). In other embodiments, a tri-alkyne linker may be conjugated to the sense strand following cleavage from the resin, described as follows: either prior to or after annealing, in some embodiments, the 5′ or 3′ amine functionalized sense strand is conjugated to a tri-alkyne linker. An example tri-alkyne linker structure that can be used in forming the constructs disclosed herein is as follows:

To conjugate the tri-alkyne linker to the annealed duplex, amine-functionalized duplex was dissolved in 90% DMSO/10% H₂O, at ˜50-70 mg/mL. 40 equivalents triethylamine was added, followed by 3 equivalents tri-alkyne-PNP. Once complete, the conjugate was precipitated twice in a solvent system of 1× phosphate buffered saline/acetonitrile (1:14 ratio), and dried.

F. Synthesis of Targeting Ligand SM6.1

((S)-3-(4-(4-((14-azido-3,6,9,12-tetraoxatetradecyl)oxy)naphthalen-1-yl)phenyl-3-(2-(4-((4-methylpyridin-2-yl)amino)butanamido)acetamido)propanoic acid)

Compound 5 (tert-Butyl(4-methylpyridin-2-yl)carbamate) (0.501 g, 2.406 mmol, 1 equiv.) was dissolved in DMF (17 mL). To the mixture was added NaH (0.116 mg, 3.01 mmol, 1.25 eq, 60% dispersion in oil) The mixture stirred for 10 min before adding Compound 20 (Ethyl 4-Bromobutyrate (0.745 g, 3.82 mmol, 0.547 mL)) (Sigma 167118). After 3 hours the reaction was quenched with ethanol (18 mL) and concentrated. The concentrate was dissolved in DCM (50 mL) and washed with saturated aq. NaCl solution (1×50 mL), dried over Na₂SO₄, filtered and concentrated. The product was purified on silica column, gradient 0-5% Methanol in DCM.

Compound 21 was dissolved (0.80 g, 2.378 mmol) in 100 mL of Acetone:0.1 M NaOH [1:1]. The reaction was monitored by TLC (5% ethyl acetate in hexane). The organics were concentrated away, and the residue was acidified to pH 3-4 with 0.3 M Citric Acid (40 mL). The product was extracted with DCM (3×75 mL). The organics were pooled, dried over Na₂SO₄, filtered and concentrated. The product was used without further purification.

To a solution of Compound 22 (1.1 g, 3.95 mmol, 1 equiv.), Compound 45 (595 mg, 4.74 mmol, 1.2 equiv.), and TBTU (1.52 g, 4.74 mmol, 1.2 equiv.) in anhydrous DMF (10 mL) was added diisopropylethylamine (2.06 mL, 11.85 mmol, 3 equiv.) at 0° C. The reaction mixture was warmed to room temperature and stirred 3 hours. The reaction was quenched by saturated NaHCO₃ solution (10 mL). The aqueous phase was extracted with ethyl acetate (3×10 mL) and the organic phase was combined, dried over anhydrous Na₂SO₄, and concentrated. The product was separated by CombiFlash® using silica gel as the stationary phase. LC-MS: calculated [M+H]+ 366.20, found 367.

To a solution of compound 61 (2 g, 8.96 mmol, 1 equiv.), and compound 62 (2.13 mL, 17.93 mmol, 2 equiv.) in anhydrous DMF (10 mL) was added K₂CO₃ (2.48 g, 17.93 mmol, 2 equiv.) at 0° C. The reaction mixture was warmed to room temperature and stirred overnight. The reaction was quenched by water (10 mL). The aqueous phase was extracted with ethyl acetate (3×10 mL) and the organic phase was combined, dried over anhydrous Na₂SO₄, and concentrated. The product was separated by CombiFlash® using silica gel as the stationary phase.

To a solution of compound 60 (1.77 g, 4.84 mmol, 1 equiv.) in THF (5 mL) and H₂O (5 mL) was added lithium hydroxide monohydrate (0.61 g, 14.53 mmol, 3 equiv.) portion-wise at 0° C. The reaction mixture was warmed to room temperature. After stirring at room temperature for 3 hours, the reaction mixture was acidified by HCl (6 N) to pH 3.0. The aqueous phase was extracted with ethyl acetate (3×20 mL) and the organic layer was combined, dried over Na₂SO₄, and concentrated. LC-MS: calculated [M+H]+ 352.18, found 352.

To a solution of compound 63 (1.88 g, 6.0 mmol, 1.0 equiv.) in anhydrous THF (20 mL) was added n-BuLi in hexane (3.6 mL, 9.0 mmol, 1.5 equiv.) drop-wise at −78° C. The reaction was kept at −78° C. for another 1 hour. Triisopropylborate (2.08 mL, 9.0 mmol, 1.5 equiv.) was then added into the mixture at −78° C. The reaction was then warmed up to room temperature and stirred for another 1 hour. The reaction was quenched by saturated NH₄Cl solution (20 mL) and the pH was adjusted to 3. The aqueous phase was extracted with EtOAc (3×20 mL) and the organic phase was combined, dried over Na₂SO₄, and concentrated.

Compound 12 (300 mg, 0.837 mmol, 1.0 equiv.), Compound 65 (349 mg, 1.256 mmol, 1.5 equiv.), XPhos Pd G2 (13 mg, 0.0167 mmol, 0.02 equiv.), and K₃PO₄ (355 mg, 1.675 mmol, 2.0 equiv.) were mixed in a round-bottom flask. The flask was sealed with a screw-cap septum, and then evacuated and backfilled with nitrogen (this process was repeated a total of 3 times). Then, THF (8 mL) and water (2 mL) were added via syringe. The mixture was bubbled with nitrogen for 20 min and the reaction was kept at room temperature for overnight. The reaction was quenched with water (10 mL), and the aqueous phase was extracted with ethyl acetate (3×10 mL). The organic phase was dried over Na₂SO₄, concentrated, and purified via CombiFlash® using silica gel as the stationary phase and was eluted with 15% EtOAc in hexane. LC-MS: calculated [M+H]+ 512.24, found 512.56.

Compound 66 (858 mg, 1.677 mmol, 1.0 equiv.) was cooled by ice bath. HCl in dioxane (8.4 mL, 33.54 mmol, 20 equiv.) was added into the flask. The reaction was warmed to room temperature and stirred for another 1 hr. The solvent was removed by rotary evaporator and the product was directly used without further purification. LC-MS: calculated [M+H]+ 412.18, found 412.46.

To a solution of compound 64 (500 mg, 1.423 mmol, 1 equiv.), compound 67 (669 mg, 1.494 mmol, 1.05 equiv.), and TBTU (548 mg, 0.492 mmol, 1.2 equiv.) in anhydrous DMF (15 mL) was added diisopropylethylamine (0.744 mL, 4.268 mmol, 3 equiv.) at 0° C. The reaction mixture was warmed to room temperature and stirred for another 1 hr. The reaction was quenched by saturated NaHCO₃ aqueous solution (10 mL) and the product was extracted with ethyl acetate (3×20 mL). The organic phase was combined, dried over Na₂SO₄, and concentrated. The product was purified by CombiFlash® using silica gel as the stationary phase and was eluted with 3-4% methanol in DCM. The yield was 96.23%. LC-MS: calculated [M+H]+ 745.35, found 746.08.

To a solution of compound 68 (1.02 g, 1.369 mmol, 1 equiv.) in ethyl acetate (10 mL) was added 10% Pd/C (0.15 g, 50% H₂O) at room temperature. The reaction mixture was warmed to room temperature and the reaction was monitored by LC-MS. The reaction was kept at room temperature overnight. The solids were filtered through Celite® and the solvent was removed by rotary evaporator. The product was directly used without further purification. LC-MS: [M+H]+ 655.31, found 655.87.

To a solution of compound 69 (100 mg, 0.152 mmol, 1 equiv.) and azido-PEG₅-OTs (128 mg, 0.305 mmol, 2 equiv.) in anhydrous DMF (2 mL) was added K₂CO₃ (42 mg, 0.305 mmol, 2 equiv.) at 0° C. The reaction mixture was stirred for 6 hours at 80° C. The reaction was quenched by saturated NaHCO₃ solution and the aqueous layer was extracted with ethyl acetate (3×10 mL). The organic phase was combined, dried over Na₂SO₄, and concentrated. LC-MS: calculated [M+H]+ 900.40, found 901.46.

To a solution of compound 72 (59 mg, 0.0656 mmol, 1.0 equiv.) in THF (2 mL) and water (2 mL) was added lithium hydroxide (5 mg, 0.197 mmol, 3.0 equiv.) at room temperature. The mixture was stirred at room temperature for another 1 hr. The pH was adjusted to 3.0 by HCl (6N) and the aqueous phase was extracted with EtOAc (3×10 mL). The organic phase was combined, dried over Na₂SO₄, and concentrated. TFA (0.5 mL) and DCM (0.5 mL) was added into the residue and the mixture was stirred at room temperature for another 3 hr. The solvent was removed by rotary evaporator. LC-MS: calculated [M+H]+ 786.37, found 786.95.

G. Synthesis of TriAlk 14

TriAlk14 and (TriAlk14)s as shown in Table 12, above, may be synthesized using the synthetic route shown below. Compound 14 may be added to the sense strand as a phosphoramidite using standard oligonucleotide synthesis techniques, or compound 22 may be conjugated to the sense strand comprising an amine in an amide coupling reaction.

To a 3-L jacketed reactor was added 500 mL DCM and 4 (75.0 g, 0.16 mol). The internal temperature of the reaction was cooled to 0° C. and TBTU (170.0 g, 0.53 mol) was added. The suspension was then treated with the amine 5 (75.5 g, 0.53 mol) dropwise keeping the internal temperature less than 5° C. The reaction was then treated with DIPEA (72.3 g, 0.56 mol) slowly, keeping the internal temperature less than 5° C. After the addition was complete, the reaction was warmed up to 23° C. over 1 hour, and allowed to stir for 3 hours. A 10% kicker charge of all three reagents were added and allowed to stir an additional 3 hours. The reaction was deemed complete when <1% of 4 remained. The reaction mixture was washed with saturated ammonium chloride solution (2×500 mL) and once with saturated sodium bicarbonate solution (500 mL). The organic layer was then dried over sodium sulfate and concentrated to an oil. The mass of the crude oil was 188 g which contained 72% 6 by QNMR. The crude oil was carried to the next step. Calculated mass for C₄₆H₆₀N₄O₁₁=845.0 m/z. Found [M+H]=846.0.

The 121.2 g of crude oil containing 72 wt % compound 6 (86.0 g, 0.10 mol) was dissolved in DMF (344 mL) and treated with TEA (86 mL, 20 v/v %), keeping the internal temperature below 23° C. The formation of dibenzofulvene (DBF) relative to the consumption of Fmoc-amine 6 was monitored via HPLC method 1 (FIG. 2 ) and the reaction was complete within 10 hours. To the solution was added glutaric anhydride (12.8 g, 0.11 mol) and the intermediate amine 7 was converted to compound 8 within 2 hours. Upon completion, the DMF and TEA were removed at 30° C. under reduced pressure resulting in 100 g of a crude oil. Due to the high solubility of compound 7 in water, an aqueous workup could not be used, and chromatography is the only way to remove DBF, TMU, and glutaric anhydride. The crude oil (75 g) was purified on a Teledyne ISCO Combi-flash® purification system in three portions. The crude oil (25 g) was loaded onto a 330 g silica column and eluted from 0-20% methanol/DCM over 30 minutes resulting in 42 g of compound 8 (54% yield over 3 steps). Calculated mass for C₃₆H₅₅N₄O₁₂=736.4 m/z Found [M+H]=737.0.

Compound 8 (42.0 g, 0.057 mol) was co-stripped with 10 volumes of acetonitrile prior to use to remove any residual methanol from chromatography solvents. The oil was redissolved in DMF (210 mL) and cooled to 0° C. The solution was treated with 4-nitrophenol (8.7 g, 0.063 moL) followed by EDC-hydrochloride (12.0 g, 0.063 mol) and found to reach completion within 10 hours. The solution was cooled to 0° C. and 10 volumes ethyl acetate was added followed by 10 volumes saturated ammonium chloride solution, keeping the internal temperature below 15° C. The layers were allowed to separate and the ethyl acetate layer was washed with brine. The combined aqueous layers were extracted twice with 5 volumes ethyl acetate. The combined organic layers were dried over sodium sulfate and concentrated to an oil. The crude oil (55 g) was purified on a Teledyne ISCO Combi-Flash® purification system in three portions. The crude oil (25 g) was loaded onto a 330 g silica column and eluted from 0-10% methanol/DCM over 30 minutes resulting in 22 g of pure 9 (Compound 22) (50% yield). Calculated mass for C₄₂H₅₉N₅O₁₄=857.4 m/z. Found [M+H]=858.0.

A solution of ester 9 (49.0 g, 57.1 mmol) and 6-amino-1-hexanol (7.36 g, 6.28 mmol) in dichloromethane (3 volumes) was treated with triethylamine (11.56 g, 111.4 mmol) dropwise. The reaction was monitored by observing the disappearance of compound 9 on HPLC Method 1 and was found to be complete in 10 minutes. The crude reaction mixture was diluted with 5 volumes dichloromethane and washed with saturated ammonium chloride (5 volumes) and brine (5 volumes). The organic layer was dried over sodium sulfate and concentrated to an oil. The crude oil was purified on a Teledyne ISCO Combi-flash® purification system using a 330 g silica column. The 4-nitrophenol was eluted with 100% ethyl acetate and 10 was flushed from the column using 20% methanol/DCM resulting in a colorless oil (39 g, 81% yield). Calculated mass for C₄₂H₆₉N₅O₁₂=836.0 m/z. Found [M+H]=837.0.

Alcohol 10 was co-stripped twice with 10 volumes of acetonitrile to remove any residual methanol from chromatography solvents and once more with dry dichloromethane (KF<60 ppm) to remove trace water. The alcohol 10 (2.30 g, 2.8 mmol) was dissolved in 5 volumes dry dichloromethane (KF<50 ppm) and treated with diisopropylammonium tetrazolide (188 mg, 1.1 mmol). The solution was cooled to 0° C. and treated with 2-cyanoethyl N,N,N′,N′-tetraisopropylphosphoramidite (1.00 g, 3.3 mmol) dropwise. The solution was removed from ice-bath and stirred at 20° C. The reaction was found to be complete within 3-6 hours. The reaction mixture was cooled to 0° C. and treated with 10 volumes of a 1:1 solution of saturated ammonium bicarbonate/brine and then warmed to ambient over 1 minute and allowed to stir an additional 3 minutes at 20° C. The biphasic mixture was transferred to a separatory funnel and 10 volumes of dichloromethane was added. The organic layer was separated and washed with 10 volumes of saturated sodium bicarbonate solution to hydrolyze unreacted bis-phosphorous reagent. The organic layer was dried over sodium sulfate and concentrated to an oil resulting in 3.08 g of 94 wt % Compound 14. Calculated mass for C₅₁H₈₆N₇O₁₃P=1035.6 m/z. Found [M+H]=1036.

H. Conjugation of Targeting Ligands.

Either prior to or after annealing, the 5′ or 3′ tridentate alkyne functionalized sense strand is conjugated to targeting ligands. The following example describes the conjugation of targeting ligands to the annealed duplex: Stock solutions of 0.5M Tris(3-hydroxypropyltriazolylmethyl)amine (THPTA), 0.5M of Cu(II) sulfate pentahydrate (Cu(II)SO₄.5H₂O) and 2M solution of sodium ascorbate were prepared in deionized water. A 75 mg/mL solution in DMSO of targeting ligand was made. In a 1.5 mL centrifuge tube containing tri-alkyne functionalized duplex (3 mg, 75 μL, 40 mg/mL in deionized water, ˜15,000 g/mol), 25 μL of 1M Hepes pH 8.5 buffer is added. After vortexing, 35 μL of DMSO was added and the solution is vortexed. Targeting ligand was added to the reaction (6 equivalents/duplex, 2 equivalents/alkyne, ˜15 μL) and the solution is vortexed. Using pH paper, pH was checked and confirmed to be pH ˜8. In a separate 1.5 mL centrifuge tube, 50 μL of 0.5M THPTA was mixed with 10 uL of 0.5M Cu(II)SO₄.5H₂O, vortexed, and incubated at room temp for 5 min. After 5 min, THPTA/Cu solution (7.2 μL, 6 equivalents 5:1 THPTA:Cu) was added to the reaction vial, and vortexed. Immediately afterwards, 2M ascorbate (5 μL, 50 equivalents per duplex, 16.7 per alkyne) was added to the reaction vial and vortexed. Once the reaction was complete (typically complete in 0.5-1 h), the reaction was immediately purified by non-denaturing anion exchange chromatography.

Example 2. In Vitro Testing of MUC5AC RNAi Agents

Certain chemically modified candidate sequence duplexes shown Table 8C above (with the antisense strand sequence set forth in Table 3 and the nucleotide and end cap portion of the sense strand found in Table 6), were tested in vitro. The MUC5AC RNAi agents were prepared in accordance with the procedures set forth in Example 1.

Evaluation of MUC5AC RNAi agents in vitro was performed by transfection of A549 cells, a human lung epithelial cell line. Cells were plated at ˜7,500 cells per well in 96-well format, and each of the RNAi agent duplexes shown in Table 12 was transfected at three concentrations (10 nM, 1 nM, and 0.1 nM), using LipoFectamine RNAiMax (Thermo Fisher) transfection reagent. Relative expression of each of the MUC5AC RNAi agents was determined by qRT-PCR by comparing the expression levels of MUC5AC mRNA to an endogenous control, and normalized to untreated A549 cells (ΔΔC_(T) analysis), as shown in Table 12.

Table 12, below, lists the AD duplex number for the sequence being examined, as well as in parenthesis the gene position being targeted by that particular RNAi agent. Thus, for example, for Duplex ID AD08101, average relative expression at 1 nM of 0.377 shows MUC5AC gene knockdown of 62.3%, and average relative expression at 0.1 nM shows inhibition of 53.0% (0.470) normalized to untreated wells (mock control).

TABLE 13 In Vitro Testing of MUC5AC RNAi Agents. Duplex Avg. Rel. High Low Avg. Rel. High Low Avg. Rel. High Low ID No. Exp. 10 nM (error) (error) Exp. 1 nM (error) (error) Exp. 0.1 nM (error) (error) AD08101 0.230 0.042 0.051 0.377 0.049 0.056 0.470 0.056 0.064 (11014_1) AD08666 0.258 0.047 0.058 0.394 0.068 0.082 0.474 0.102 0.131 (4993_2) AD08668 0.228 0.052 0.068 0.401 0.065 0.078 0.554 0.181 0.270 (4993_4) AD07732 0.240 0.057 0.075 0.427 0.083 0.103 0.527 0.087 0.105 (3099_1) AD08100 0.286 0.031 0.035 0.382 0.048 0.054 0.550 0.081 0.096 (10206_1) AD08103 0.198 0.063 0.092 0.439 0.079 0.097 0.656 0.086 0.099 (12965_1) AD07734 0.186 0.047 0.062 0.515 0.089 0.107 0.614 0.085 0.099 (5347_1) AD07634 0.161 0.025 0.030 0.423 0.046 0.051 0.769 0.129 0.154 (3535_1) AD08671 0.353 0.047 0.054 0.416 0.078 0.096 0.588 0.068 0.077 (4992_2) AD07763 0.138 0.034 0.046 0.432 0.065 0.077 0.826 0.149 0.182 (610_1) AD08667 0.293 0.056 0.069 0.427 0.051 0.057 0.677 0.151 0.195 (4993_3) AD07733 0.253 0.031 0.036 0.501 0.084 0.102 0.655 0.123 0.152 (4993_1) AD08669 0.302 0.037 0.042 0.461 0.057 0.065 0.658 0.083 0.094 (4993_5) AD08673 0.369 0.061 0.073 0.468 0.060 0.069 0.624 0.070 0.079 (4992_4) AD07774 0.182 0.053 0.074 0.565 0.088 0.104 0.860 0.099 0.112 (2797_1) AD07735 0.288 0.037 0.043 0.565 0.097 0.117 0.774 0.071 0.078 (5350_1) AD08670 0.360 0.033 0.036 0.513 0.072 0.084 0.814 0.198 0.261 (4993_6) AD07637 0.539 0.061 0.069 0.606 0.057 0.063 0.674 0.051 0.055 (5300_1) AD08571 0.250 0.039 0.047 0.612 0.046 0.050 0.978 0.089 0.099 (15051_1) AD08572 0.389 0.052 0.059 0.688 0.080 0.091 0.819 0.098 0.112 (15052_7) AD08568 0.448 0.069 0.082 0.661 0.080 0.091 0.789 0.082 0.092 (3910_1) AD08569 0.282 0.034 0.038 0.666 0.096 0.113 0.978 0.046 0.048 (5029_9) AD08573 0.398 0.027 0.029 0.736 0.069 0.076 0.814 0.118 0.138 (15052_8) AD08096 0.359 0.040 0.045 0.621 0.076 0.086 1.008 0.080 0.087 (4992_1) AD08672 0.432 0.052 0.059 0.669 0.057 0.063 0.925 0.040 0.042 (4992_3) AD07756 0.372 0.064 0.078 0.693 0.053 0.058 1.082 0.146 0.169 (1618_1) AD07773 0.446 0.042 0.046 0.837 0.117 0.136 0.935 0.153 0.183 (2536_1) AD07760 0.379 0.059 0.070 0.806 0.141 0.171 1.096 0.151 0.175 (2001_1) AD07771 0.389 0.032 0.035 0.872 0.093 0.104 1.205 0.161 0.185 (2004_1) Mock 1.000 0.164 0.197 1.000 0.164 0.197 1.000 0.164 0.197 Control

Example 3. In Vitro Testing of MUC5AC RNAi Agents

Certain chemically modified candidate sequence duplexes shown Table 8C above (with the antisense strand sequence set forth in Table 3 and the nucleotide and end cap portion of the sense strand found in Table 6), were tested in vitro. The MUC5AC RNAi agents were prepared in accordance with the procedures set forth in Example 1.

Evaluation of MUC5AC RNAi agents in vitro was performed by transfection of A549 cells, a human lung epithelial cell line. Cells were plated at ˜7,500 cells per well in 96-well format, and each of the RNAi agent duplexes shown in Table 12 was transfected at three concentrations (10 nM, 1 nM, and 0.1 nM), using LipoFectamine RNAiMax (Thermo Fisher) transfection reagent. Relative expression of each of the MUC5AC RNAi agents was determined by qRT-PCR by comparing the expression levels of MUC5AC mRNA to an endogenous control, and normalized to untreated A549 cells (ΔΔC_(T) analysis), as shown in Table 12.

Table 12, below, lists the AD duplex number for the sequence being examined, as well as in parenthesis the gene position being targeted by that particular RNAi agent. Thus, for example, for Duplex ID AD08101, average relative expression at 1 nM of 0.377 shows MUC5AC gene knockdown of 62.3%, and average relative expression at 0.1 nM shows inhibition of 53.0% (0.470) normalized to untreated wells (mock control).

TABLE 14 In Vitro Testing of MUC5AC RNAi Agents. Duplex Avg. Rel. High Low Avg. Rel. High Low Avg. Rel. High Low ID No. Exp. 10 nM (error) (error) Exp. 1 nM (error) (error) Exp. 0.1 nM (error) (error) AD07733 0.156 0.047 0.067 0.192 0.030 0.035 0.336 0.024 0.026 (4993_1) AD08096 0.171 0.022 0.026 0.275 0.035 0.040 0.406 0.027 0.028 (4992_1) AD07767 0.140 0.019 0.022 0.195 0.097 0.193 0.536 0.226 0.392 (1758_1) AD08103 0.197 0.057 0.080 0.276 0.042 0.050 0.409 0.046 0.052 (12965_1) AD08098 0.172 0.032 0.039 0.259 0.076 0.109 0.466 0.042 0.046 (8739_1) AD07763 0.094 0.024 0.032 0.293 0.033 0.037 0.514 0.026 0.027 (610_1) AD08100 0.242 0.046 0.056 0.260 0.051 0.064 0.417 0.041 0.045 (10206_1) AD08101 0.236 0.054 0.071 0.322 0.044 0.052 0.364 0.039 0.043 (11014_1) AD07751 0.161 0.058 0.091 0.335 0.051 0.061 0.536 0.035 0.037 (5533_1) AD07634 0.159 0.034 0.043 0.385 0.035 0.039 0.507 0.061 0.069 (3535_1) AD07770 0.114 0.022 0.028 0.377 0.041 0.046 0.599 0.059 0.066 (1867_1) AD07747 0.347 0.057 0.069 0.330 0.042 0.049 0.413 0.033 0.036 (5020_1) AD07749 0.365 0.061 0.073 0.337 0.017 0.018 0.464 0.060 0.068 (5441_1) AD08095 0.204 0.024 0.027 0.380 0.064 0.077 0.624 0.046 0.049 (1871_1) AD08097 0.364 0.056 0.066 0.384 0.068 0.083 0.511 0.061 0.069 (6798_1) AD07750 0.432 0.063 0.074 0.240 0.073 0.105 0.589 0.056 0.062 (5519_1) AD07774 0.168 0.031 0.038 0.432 0.072 0.087 0.679 0.040 0.042 (2797_1) AD07732 0.352 0.056 0.067 0.402 0.147 0.231 0.535 0.154 0.217 (3099_1) AD07764 0.424 0.080 0.099 0.431 0.051 0.057 0.505 0.048 0.052 (923_1) AD07771 0.367 0.064 0.077 0.493 0.090 0.109 0.597 0.078 0.090 (2004_1) AD07748 0.518 0.131 0.176 0.413 0.078 0.095 0.559 0.068 0.077 (5042_1) AD07768 0.278 0.039 0.046 0.561 0.084 0.099 0.728 0.041 0.043 (1761_1) AD07756 0.522 0.081 0.096 0.464 0.081 0.099 0.708 0.052 0.056 (1618_1) AD07772 0.476 0.055 0.062 0.588 0.057 0.063 0.654 0.070 0.078 (2234_1) AD07773 0.498 0.039 0.043 0.596 0.060 0.067 0.672 0.055 0.060 (2536_1) AD07746 0.578 0.058 0.065 0.671 0.086 0.099 0.740 0.052 0.056 (4446_1) AD08094 0.646 0.056 0.061 0.721 0.071 0.079 0.762 0.076 0.084 (1445_1) AD07766 0.760 0.103 0.119 0.806 0.067 0.072 0.793 0.082 0.092 (1446_1) AD07745 0.902 0.194 0.247 0.840 0.088 0.098 0.821 0.049 0.052 (4443_1) Mock 1.000 0.109 0.122 1.000 0.109 0.122 1.000 0.109 0.122 Control

Example 4. House Dust Mite (HDM) Induced Allergic Asthma Model

To study the properties of certain MUC5AC RNAi agents in vivo, the house dust mite (HDM) induced allergic asthma mouse model was used. To induce mouse Muc5ac expression, female Balb/c mice (6-8 weeks in age) were administered 50 μg house dust mite protein acquired commercially in 25 μL of isotonic saline intranasally using a pipette for 5 consecutive days. 72 hours after the fifth daily dose, mice were euthanized and whole lungs were harvested for mRNA expression analysis. Compared to unchallenged, naïve mice, relative expression of mouse Muc5ac mRNA in HDM challenged mice is shown to increase approximately 100 fold.

Example 5. In Vivo Intratracheal Administration of MUC5AC RNAi Agents in the HDM Model

The HDM induced allergic asthma mouse model described in Example 4, above, was used. The following Table 15 sets forth the dosing Groups:

TABLE 15 MUC5AC RNAi Agent and Dosing for Example 5. Study Days IT IN Dose Study Days IN Animals GROUP IT Dose Administered Administered Administered Dose Administered Per Group 1 No treatment N/A No treatment N/A 6 2 No treatment N/A Saline Days 8-12 6 3 Saline 1, 3, 5, and 8 Saline Days 8-12 3 4 No treatment N/A HDM Days 8-12 6 5 Saline 1, 3, 5, and 8 HDM Days 8-12 4 6 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1, 3, 5, and 8 HDM Days 8-12 4 7 5.0 mg/kg Tri-SM6.1-αvβ6-AD07720 1, 3, 5, and 8 HDM Days 8-12 5 8 5.0 mg/kg Tri-SM6.1-αvβ6-AD07719 1, 3, 5, and 8 HDM Days 8-12 5

As noted in Table 15 above, the mice in Group 1 received no treatment throughout. For the mice in Groups 3, 5, 6, 7 and 8, on study days 1, 3, 5, and 8, female Balb/c mice were administered a single dose of 50 microliters via a microsprayer device (Penn Century, Philadelphia, Pa.) suitable for intratracheal (IT) administration of isotonic saline or 5.0 mg/kg the respective MUC5AC RNAi agent formulated in isotonic saline as noted in Table 15.

As shown in Table 15, each of the MUC5AC RNAi agents (Groups 6, 7 and 8) were conjugated to a tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1, see FIG. 1 ) at the 5′ terminal end of the sense strand.

The chemically modified sequences for MUC5AC RNAi agents AD07720 and AD07719 (Groups 7 and 8) are shown in Table 7B (showing duplex), Table 3 (showing respective antisense strand), and Table 5 (showing respective sense strand with linker but without tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1).

AD07022 has mouse-specific sequences that do not have homology with the human MUC5AC gene, and were chemically modified as follows:

  Tri-SM6.1-αvβ6-AD07022 Modified Sense Strand (5′ → 3′): (SEQ ID NO: 1714) Tri-SM6.1-αvβ6-(TA14)cscauacagCfAfGfuacaguuacas (invAb) Modified Antisense Strand (5′ → 3′): (SEQ ID NO: 1713) cPrpusGfsusAfaCfuGfuAfcUfgCfuGfuAfuGfsg

On each of Days 8 through 12, the mice in Groups 2 through 8 were administered a single dose intranasally (IN) using a pipette with 25 microliters of isotonic saline (Groups 2 and 3) or 50 micrograms of house dust mite formulated in isotonic saline (referred to in Table 15 as HDM).

Mice were sacrificed on study day 15, and total RNA was isolated from both lungs following collection and homogenization. Mouse Muc5ac mRNA expression was quantitated by probe-based quantitative PCR, normalized to mouse beta-actin expression, and expressed as fraction of vehicle control group (geometric mean, +/−95% confidence interval).

TABLE 16 Average Relative Mouse MUC5AC mRNA at Sacrifice (Day 15) in Example 5 Average Relative Low High Group ID mMuc5AC mRNA (error) (error) Group 1 (No Treatment) 1.000 0.213 0.270 Group 2 (IN Saline) 1.941 0.638 0.951 Group 3 (IT Saline & IN Saline) 1.706 0.532 0.774 Group 4 (IN HDM) 117.876 26.269 33.801 Group 5 (IT Saline & IN HDM) 95.585 21.822 28.277 Group 6 (IT 5 mg/kg Tri-SM6.1- 13.444 3.410 4.569 αvβ6-AD07022 & IN HDM) Group 7 (IT 5 mg/kg Tri-SM6.1- 71.812 16.633 21.647 αvβ6-AD07720 & IN HDM) Group 8 (IT 5 mg/kg Tri-SM6.1- 90.537 27.214 38.910 αvβ6-AD07719 & IN HDM)

The data were normalized to the non-treatment group (Group 1). As shown in the data in Table 16 above, the HDM mouse model performed as expected with respect to promoting an increase in MUC5AC expression after exposure to HDM. The data show that Groups 7 and 8, which each had nucleotide sequences targeting position 1921 of the MUC5AC gene and has homology to both the human and mouse gene transcript, provided only a very minimal reduction in MUC5AC protein compared to the HDM model mice of Groups 4 and 5 with no RNAi agent, indicating only a minimal amount of inhibition for these specific RNAi agents. Alternatively, the mouse-specific RNAi agent of AD07022 (Group 6) showed a substantial reduction in Muc5ac mouse mRNA levels (only 13.444) compared to the groups where HDM was administered without a MUC5AC RNAi agent.

Example 6. In Vivo Intratracheal Administration of MUC5AC RNAi Agents in the HDM Model

The HDM induced allergic asthma mouse model described in Example 4, above, was used. The following Table 17 sets forth the dosing Groups:

TABLE 17 MUC5AC RNAi Agent and Dosing for Example 6. Study Days Animals Targeted Study Days IT IN Dose IN Dose Per Gene GROUP IT Dose Administered Administered Administered Administered Group Position 1 Saline 1, 3, 5, and 8 Saline Days 8-12 6 N/A 2 Saline 1, 3, 5, and 8 HDM Days 8-12 5 N/A 3 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1, 3, 5, and 8 HDM Days 8-12 6 Mouse- specific 4 5.0 mg/kg Tri-SM6.1-αvβ6-AD08083 1, 3, 5, and 8 HDM Days 8-12 5 5029 5 5.0 mg/kg Tri-SM6.1-αvβ6-AD08084 1, 3, 5, and 8 HDM Days 8-12 5 5029 6 5.0 mg/kg Tri-SM6.1-αvβ6-AD08085 1, 3, 5, and 8 HDM Days 8-12 4 5029 7 5.0 mg/kg Tri-SM6.1-αvβ6-AD08086 1, 3, 5, and 8 HDM Days 8-12 5 9729 8 5.0 mg/kg Tri-SM6.1-αvβ6-AD08087 1, 3, 5, and 8 HDM Days 8-12 6 9729 9 5.0 mg/kg Tri-SM6.1-αvβ6-AD08088 1, 3, 5, and 8 HDM Days 8-12 5 15052 10 5.0 mg/kg Tri-SM6.1-αvβ6-AD08089 1, 3, 5, and 8 HDM Days 8-12 5 15052 11 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1 and 8 HDM Days 8-12 5 Mouse- specific

For the mice in Groups 1-10, on study days 1, 3, 5, and 8, female Balb/c mice were administered a single dose of 50 microliters via a microsprayer device (Penn Century, Philadelphia, Pa.) suitable for intratracheal (IT) administration of isotonic saline or 5.0 mg/kg of the respective MUC5AC RNAi agent formulated in isotonic saline as noted in Table 17. For the mice in Group 11, the MUC5AC RNAi agent was administered only on days 1 and 8.

As shown in Table 17, each of the MUC5AC RNAi agents (Groups 3-11) were conjugated to a tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1, see FIG. 1 ) at the 5′ terminal end of the sense strand. The chemically modified sequences for MUC5AC RNAi agents AD08083, AD08084, AD08085, AD08086, AD08087, AD08088, and AD08089 (Groups 4 through 10) are shown in Table 7B (showing duplex), Table 3 (showing respective antisense strand), and Table 5 (showing respective sense strand with linker but without tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1)).

AD07022 has mouse-specific sequences that do not have homology with the human MUC5AC gene, and were chemically modified as shown above in Example 5.

On each of Days 8 through 12, the mice were administered a single dose intranasally (IN) using a pipette with 25 microliters of isotonic saline (Group 2) or 50 micrograms of house dust mite formulated in isotonic saline (referred to in Table 17 as HDM).

Mice were sacrificed on study day 15, and total RNA was isolated from both lungs following collection and homogenization. Mouse Muc5ac mRNA expression was quantitated by probe-based quantitative PCR, normalized to mouse beta-actin expression, and expressed as fraction of vehicle control group (geometric mean, +/−95% confidence interval).

TABLE 18 Average Relative Mouse MUC5AC mRNA at Sacrifice (Day 15) in Example 6 Average Relative Low High Group ID mMuc5ac mRNA (error) (error) Group 1 (IT Saline & IN Saline) 1.000 0.305 0.440 Group 2 (IT Saline & IN HDM) 115.127 17.128 20.122 Group 3 (IT 5 mg/kg Tri-SM6.1- 19.053 6.287 9.383 αvβ6-AD07022 & IN HDM) Group 4 (IT 5 mg/kg Tri-SM6.1- 35.333 13.193 21.054 αvβ6-AD08083 & IN HDM) Group 5 (IT 5 mg/kg Tri-SM6.1- 26.634 12.943 25.180 αvβ6-AD08084 & IN HDM) Group 6 (IT 5 mg/kg Tri-SM6.1- 34.602 3.503 3.897 αvβ6-AD08085 & IN HDM) Group 7 (IT 5 mg/kg Tri-SM6.1- 55.475 15.377 21.273 αvβ6-AD08086 & IN HDM) Group 8 (IT 5 mg/kg Tri-SM6.1- 66.631 19.703 27.976 αvβ6-AD08087 & IN HDM) Group 9 (IT 5 mg/kg Tri-SM6.1- 26.879 4.505 5.412 αvβ6-AD08088 & IN HDM) Group 10 (IT 5 mg/kg Tri-SM6.1- 14.903 2.441 2.919 αvβ6-AD08089 & IN HDM) Group 11 (IT 5 mg/kg Tri-SM6.1- 14.457 6.005 10.271 αvβ6-AD07022 & IN HDM)

The data were normalized to the IT and IN saline-only dosed group (Group 1). As shown in the data in Table 18 above, the HDM mouse model performed as expected with respect to promoting an increase in MUC5AC expression after exposure to HDM. The data show that Groups 7 and 8, which both had nucleotide sequences targeting position 9729 of the MUC5AC gene and has homology to both the human and mouse gene transcript, provided only a moderate reduction in MUC5AC protein compared to the HDM model mice of Group 2 with no RNAi agent, indicating only a moderate amount of inhibition for these specific RNAi agents. Alternatively, the remaining MUC5AC RNAi agents tested (targeting gene position 5029 in Groups 4-6 and gene position 15052 in Groups 9 and 10) each showed substantial inhibition compared to Group 2, as did the mouse-specific MUC5AC RNAi agent of AD07022 (Group 6).

Example 7. In Vivo Intratracheal Administration of MUC5AC RNAi Agents in Rats

The HDM induced allergic asthma mouse model described in Example 4, above, was used. The following Table 19 sets forth certain dosing Groups included in the study:

TABLE 19 MUC5AC RNAi Agent and Dosing for Example 7. Study Days Animals Targeted Study Days IT IN Dose IN Dose Per Gene GROUP IT Dose Administered Administered Administered Administered Group Position 1 Saline 1, 3, 5, and 8 Saline Days 8-12 6 N/A 2 Saline 1, 3, 5, and 8 HDM Days 8-12 6 N/A 3 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1, 3, 5, and 8 HDM Days 8-12 5 Mouse- Specific 4 5.0 mg/kg Tri-SM6.1-αvβ6-AD08173 1, 3, 5, and 8 HDM Days 8-12 6 3535 5 5.0 mg/kg Tri-SM6.1-αvβ6-AD08174 1, 3, 5, and 8 HDM Days 8-12 6 3535 6 5.0 mg/kg Tri-SM6.1-αvβ6-AD08243 1, 3, 5, and 8 HDM Days 8-12 6 3535 7 5.0 mg/kg Tri-SM6.1-αvβ6-AD08244 1, 3, 5, and 8 HDM Days 8-12 6 3535 8 5.0 mg/kg Tri-SM6.1-αvβ6-AD08175 1, 3, 5, and 8 HDM Days 8-12 6 3535 9 5.0 mg/kg Tri-SM6.1-αvβ6-AD08176 1, 3, 5, and 8 HDM Days 8-12 6 3535 10 5.0 mg/kg Tri-SM6.1-αvβ6-AD08177 1, 3, 5, and 8 HDM Days 8-12 6 3535

For the mice in Groups 1-5, on study days 1, 3, 5, and 8, female Balb/c mice were administered a single dose of 50 microliters via a microsprayer device (Penn Century, Philadelphia, Pa.) suitable for intratracheal (IT) administration of isotonic saline or 5.0 mg/kg the respective MUC5AC RNAi agent formulated in isotonic saline as noted in Table 19.

As shown in Table 19, each of the MUC5AC RNAi agents (Groups 3-5) were conjugated to a tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1, see FIG. 1 ) at the 5′ terminal end of the sense strand. The chemically modified sequences for MUC5AC RNAi agents AD08173 and AD08174 (Groups 4 and 5) are shown in Table 7B (showing duplex), Table 3 (showing respective antisense strand), and Table 5 (showing respective sense strand with linker but without tridentate small molecule αvβ6 epithelial cell targeting ligand (Tri-SM6.1)). Each of the MUC5AC RNAi agents with sequences targeting position 3535 have a mismatch in what is understood to be an important location from the mouse gene, and therefore it is expected that the MUC5AC RNAi agents would show little to no inhibitory activity in view of the mismatch.

AD07022 has mouse-specific sequences that do not have homology with the human MUC5AC gene, and were chemically modified as shown above in Example 5.

On each of Days 8 through 12, the mice were administered a single dose intranasally (IN) using a pipette with 25 microliters of isotonic saline (Group 1 only) or 50 micrograms of house dust mite formulated in isotonic saline (referred to in Table 19 as HDM).

Mice were sacrificed on study day 15, and total RNA was isolated from both lungs following collection and homogenization. Mouse Muc5ac mRNA expression was quantitated by probe-based quantitative PCR, normalized to mouse beta-actin expression, and expressed as fraction of vehicle control group (geometric mean, +/−95% confidence interval).

TABLE 20 Average Relative Mouse MUC5AC mRNA at Sacrifice (Day 15) in Example 7 Average Relative Low High Group ID mMuc5ac mRNA (error) (error) Group 1 (IT Saline & IN Saline) 1.000 0.197 0.245 Group 2 (IT Saline & IN HDM) 132.247 31.248 40.917 Group 3 (IT 5 mg/kg Tri-SM6.1- 13.139 2.426 2.975 αvβ6-AD07022 & IN HDM) Group 4 (IT 5 mg/kg Tri-SM6.1- 96.522 13.056 15.098 αvβ6-AD08173 & IN HDM) Group 5 (IT 5 mg/kg Tri-SM6.1- 57.983 15.132 20.476 αvβ6-AD08174 & IN HDM) Group 6 (IT 5 mg/kg Tri-SM6.1- 55.592 8.761 10.400 αvβ6-AD08243 & IN HDM) Group 7 (IT 5 mg/kg Tri-SM6.1- 75.149 17.661 23.087 αvβ6-AD08244 & IN HDM) Group 8 (IT 5 mg/kg Tri-SM6.1- 75.420 10.876 12.708 αvβ6-AD08175 & IN HDM) Group 9 (IT 5 mg/kg Tri-SM6.1- 72.203 12.062 14.482 αvβ6-AD08176 & IN HDM) Group 10 (IT 5 mg/kg Tri-SM6.1- 67.222 12.063 14.701 αvβ6-AD08177 & IN HDM)

The data were normalized to the IT and IN saline-only dosed group (Group 1). As noted above, given the nature of the mismatch to the mouse gene for the MUC5AC RNAi agents in Groups 4 and 5 (targeting position 3535 of the human gene), minimal inhibition is expected. As shown in the data in Table 20 above, the HDM mouse model performed as expected with respect to promoting an increase in MUC5AC expression after exposure to HDM, as shown in Groups 1 and 2. Unexpectedly, the MUC5AC RNAi agents targeting position 3535 still showed moderate levels of inhibition despite the mismatch to the mouse gene, indicating that MUC5AC RNAi agents targeting this position may be viable as human therapeutic candidates.

Example 8. In Vivo Intratracheal Administration of MUC5AC RNAi Agents in the HDM Model

The HDM induced allergic asthma mouse model described in Example 4, above, was used. The following Table 17 sets forth the dosing Groups:

TABLE 21 MUC5AC RNAi Agent and Dosing for Example 8. Study Days Animals Targeted Study Days IT IN Dose IN Dose Per Gene GROUP IT Dose Administered Administered Administered Administered Group Position 1 Saline 1 and 7 Saline Days 7-11 6 N/A 2 Saline 1 and 7 HDM Days 7-11 6 N/A 3 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1, 2, 4 and 7 HDM Days 7-11 6 Mouse- specific 4 5.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1 and 7 HDM Days 7-11 6 Mouse- specific 5 2.5 mg/kg Tri-SM6.1-αvβ6-AD07022 1 and 7 HDM Days 7-11 6 Mouse- specific 6 1.0 mg/kg Tri-SM6.1-αvβ6-AD07022 1 and 7 HDM Days 7-11 6 Mouse- specific 7 5.0 mg/kg Tri-SM6.1-αvβ6-AD08089 1, 2, 4 and 7 HDM Days 7-11 6 15052 8 5.0 mg/kg Tri-SM6.1-αvβ6-AD08089 1 and 7 HDM Days 7-11 6 15052 9 2.5 mg/kg Tri-SM6.1-αvβ6-AD08089 1 and 7 HDM Days 7-11 6 15052 10 1.0 mg/kg Tri-SM6.1-αvβ6-AD08089 1 and 7 HDM Days 7-11 6 15052 11 1.0 mg/kg Tri-SM6.1-αvβ6-AD08089 1 HDM Days 7-11 6 15052

Female Balb/c mice were administered a single dose of 50 microliters via a microsprayer device (Penn Century, Philadelphia, Pa.) suitable for intratracheal (IT) administration of isotonic saline or an MUC5AC RNAi agent formulated in isotonic saline, on the dates and at the concentrations set forth in Table 21 above.

As shown in Table 21, each of the MUC5AC RNAi agents (Groups 3-11) were conjugated to a tridentate small molecule αvβ6 epithelial cell targeting ligand (see FIG. 1 ) at the 5′ terminal end of the sense strand. The chemically modified sequences for MUC5AC RNAi agents AD08089 is shown in Table 7B (showing duplex), Table 3 (showing respective antisense strand), and Table 5 (showing respective sense strand with linker but without tridentate small molecule αvβ6 epithelial cell targeting ligand).

AD07022 has mouse-specific sequences that do not have homology with the human MUC5AC gene, and were chemically modified as shown above in Example 5.

On each of Days 7 through 11, the mice were administered a single dose intranasally (IN) using a pipette with 25 microliters of isotonic saline (Group 1) or 50 micrograms of house dust mite formulated in isotonic saline (referred to in Table 21 as HDM).

Mice were sacrificed on study day 14, and total RNA was isolated from both lungs following collection and homogenization. Mouse Muc5ac mRNA expression was quantitated by probe-based quantitative PCR, normalized to mouse beta-actin expression, and expressed as fraction of vehicle control group (geometric mean, +/−95% confidence interval).

TABLE 22 Average Relative Mouse MUC5AC mRNA at Sacrifice (Day 14) in Example 8 Average Relative Low High Group ID mMuc5ac mRNA (error) (error) Group 1 (IT Saline & IN Saline) 1.000 0.315 0.459 Group 2 (IT Saline & IN HDM) 112.848 44.187 72.623 Group 3 (IT 5.0 mg/kg Tri-SM6.1-αvβ6- 12.455 3.896 5.669 AD07022 (days 1, 2, 4, & 7) & IN HDM) Group 4 (IT 5.0 mg/kg Tri-SM6.1-αvβ6- 16.521 4.908 6.982 AD07022 (days 1 & 7) & IN HDM) Group 5 (IT 2.5 mg/kg Tri-SM6.1-αvβ6- 26.846 5.096 6.290 AD07022 & IN HDM) Group 6 (IT 1.0 mg/kg Tri-SM6.1-αvβ6- 26.521 9.295 14.311 AD07022 & IN HDM) Group 7 (IT 5.0 mg/kg Tri-SM6.1-αvβ6- 10.978 3.101 4.322 AD08089 (days 1, 2, 4, & 7) & IN HDM) Group 8 (IT 5.0 mg/kg Tri-SM6.1-αvβ6- 17.629 6.752 10.944 AD08089 (days 1 & 7) & IN HDM) Group 9 (IT 2.5 mg/kg Tri-SM6.1-αvβ6- 17.746 4.647 6.296 AD08089 & IN HDM) Group 10 (IT 1.0 mg/kg Tri-SM6.1-αvβ6- 21.106 4.109 5.103 AD08089 & IN HDM) Group 11 (IT 1.0 mg/kg Tri-SM6.1-αvβ6- 42.413 14.428 21.868 AD08089 (day 1 only) & IN HDM)

The data were normalized to the IT and IN saline-only dosed group (Group 1). As shown in the data in Table 22 above, the HDM mouse model performed as expected with respect to promoting an increase in MUC5AC expression after exposure to HDM. The data show that AD08089, which has nucleotide sequences targeting position 15052 of the MUC5AC gene and has homology to both the human and mouse gene transcript, provided substantial inhibition of MUC5AC and was generally comparable to the highly active mouse-specific MUC5AC RNAi agent of AD07022.

Example 9. In Vivo Inhaled Aerosolized Administration of MUC5AC RNAi Agents in Cynomolgus Monkeys

On study day 1, male cynomolgus monkeys were administered a single dose on each of days 1, 8, and 15 at 1 mg/kg pulmonary deposited dose (PDD) of the MUC5AC RNAi agent AC001305 or AC001306. Using a vibrating mesh nebulizer (Aeroneb Solo), aerosol was delivered to restrained, anesthetized monkeys intubated intratracheally. Intubated animals were connected to a ventilator, which was used to control respiratory minute volume. Test article aerosol was generated via an Aeroneb Solo mesh nebulizer connected in-line with the exposure system. Exposures times were determined from aerosol trials in which the efficiency of the system was determined by placing a filter at the end of the endotracheal tube, collecting the aerosol during the course of the exposure. The MUC5AC RNAi agent was conjugated to a tridentate small molecule αvβ6 epithelial cell targeting ligand (see FIG. 1 ) at the 5′ terminal end of the sense strand, formulated in isotonic saline. The chemically modified sequences for MUC5AC RNAi agents AC001305 and AC001306 are shown in Table 11. The antisense strand sequence of AC001305 is also shown as AM12165 in Table 3, and the antisense strand sequence of AC001306 is also shown as AM12166 in Table 3, both of which target position 4993 of the MUC5AC gene.

The dosing groups were as described in the following Table 23:

TABLE 23 MUC5AC RNAi Agent and Dosing for Example 9 Group ID Group 1 (isotonic saline on Days 1, 8, 15 Group 2 (1.0 mg/kg pulmonary deposited dose AC001305 on Days 1, 8, 15 Group 3 (1.0 mg/kg pulmonary deposited dose AC001306 on Days 1, 8, 15

Two (2) monkeys were dosed per group. Monkeys were sacrificed on study day 22, and total RNA was isolated from lung samples following collection and homogenization. The data in Table 24, below, shows mRNA expression sampled from the distal left caudal lobe. Cynomolgus monkey MUC5AC mRNA expression was quantitated by probe-based quantitative PCR, normalized to Cynomolgus monkey beta-actin expression, and expressed as fraction of vehicle control group (geometric mean, +/−95% confidence interval).

TABLE 24A Cynomolgus Monkey Mucosal Tissue Muc5ac mRNA Relative Expression at Sacrifice in Example 9 Relative cMuc5ac mRNA Expression Low High Group ID (n = 2) (error) (error) Group 1 (isotonic saline) 1.000 0.386 0.628 Group 2 (1.0 mg/kg deposited 0.034 0.010 0.015 dose AC001305 on Days 1, 8, 15) Group 3 (1.0 mg/kg deposited 0.171 0.085 0.169 dose AC001306 on Days 1, 8, 15

TABLE 24B Cynomolgus Monkey Right Cranial Hilar Muc5ac mRNA Relative Expression at Sacrifice in Example 9 Relative cMuc5ac mRNA Expression Low High Group ID (n = 2) (error) (error) Group 1 (isotonic saline) 1.000 0.708 2.421 Group 2 (1.0 mg/kg deposited 0.034 0.010 0.015 dose AC001305 on Days 1, 8, 15) Group 3 (1.0 mg/kg deposited 0.180 0.089 0.174 dose AC001306 on Days 1, 8, 15

TABLE 24C Cynomolgus Monkey Right Cranial Mid Airway Muc5ac mRNA Relative Expression at Sacrifice in Example 9 Relative cMuc5ac mRNA Expression Low High Group ID (n = 2) (error) (error) Group 1 (isotonic saline) 1.000 0.489 0.956 Group 2 (1.0 mg/kg deposited 0.162 0.099 0.256 dose AC001305 on Days 1, 8, 15) Group 3 (1.0 mg/kg deposited 0.077 0.041 0.086 dose AC001306 on Days 1, 8, 15 As reported in Tables 24A, 24B, and 24C above, the MUC5AC RNAi agents

Example 10. Aerosolized Administration of MUC5AC RNAi Agents in Sheep

Sheep exposed to inhaled Ascaris antigen exhibit responses typical of allergic asthma, including an acute phase response (AR), late phase response (LR), and airway hyperreactivity (AHR) as shown by Abraham et.al. (Am Rev Respir Dis., 1983), and the model has been shown to respond well to standard of care therapies (Caniga, et.al., J Inflamm., 2013). Accordingly, the model may be used to determine the impact of sheep Muc5ac (sMuc5ac) mRNA silencing on airway mechanics and AHR upon treatment with MUC5AC RNAi agents. Test article delivery to intubated sheep, airway mechanics 15 assessments detecting changes in pulmonary resistance (R_(L)) following challenge with Ascaris suum antigen, and AHR assessments by performing cumulative concentration response curves to inhaled carbachol were performed according to published procedures (Abraham et.al., J Clin Invest., 1994).

Two (2) Ascaris-sensitive sheep with previously established responses to Ascaris suum challenge were administered 1 mg/kg pulmonary deposited dose levels of AC000480 on days 1, 8 and 15. The chemical structure of AC000480 is shown, for example, in Table 11 and is designed to target position 3535 on the MUC5AC gene. On day 21, AHR was assessed by determining the cumulative carbachol concentration (in breath units, BU) that increased R_(L) to 400% over the post-1×PBS value (PC₄₀₀). On day 22, sheep were challenged with Ascaris suum extract, and R_(L) was monitored out to 8 hours post-challenge. On day 23, AHR was again assessed in the same manner as on day 21. To monitor duration of effect, sheep were again challenged with Ascaris suum extract on day 51, bracketed on day 50 and day 52 with assessments of AHR.

TABLE 25 Airway Mechanics Results Control Trial (no treatment) Drug Trial: Day 22 Drug Trial: Day 51 Animal # Animal # Animal # Timepoint 2489 2497 Mean S.D. 2489 2497 Mean S.D. 2489 2497 Mean S.D. Baseline RL 0.99 0.99 0.99 0.00 1.00 1.00 1.00 0.00 1.00 1.00 1.00 0.00 Post- RL 6.66 6.62 6.64 0.03 4.28 5.21 4.75 0.66 6.35 6.38 6.37 0.02 Ascaris % 573% 569% 571% 3% 328%  421%  375%  66%  535% 538% 537% 2% 1 h RL 4.51 4.40 4.46 0.08 2.35 3.59 2.97 0.88 4.60 4.61 4.61 0.01 % 356% 344% 350% 8% 135%  259%  197%  88%  360% 361% 361% 1% 2 h RL 2.53 2.57 2.55 0.03 1.81 1.66 1.74 0.11 2.42 2.64 2.53 0.16 % 156% 160% 158% 3% 81% 66% 74% 11%  142% 164% 153% 16%  3 h RL 1.55 1.53 1.54 0.01 1.37 1.36 1.37 0.01 1.68 1.62 1.65 0.04 %  57%  55%  56% 1% 37% 36% 37% 1%  68%  62%  65% 4% 4 h RL 1.06 1.21 1.14 0.11 1.05 1.09 1.07 0.03 1.05 1.07 1.06 0.01 %  7%  22%  15% 11%   5%  9%  7% 3%  5%  7%  6% 1% 5 h RL 1.52 1.66 1.59 0.10 1.14 1.19 1.17 0.04 1.64 1.55 1.60 0.06 %  54%  68%  61% 10%  14% 19% 17% 4%  64%  55%  60% 6% 6 h RL 2.13 2.09 2.11 0.03 1.28 1.34 1.31 0.04 2.07 2.18 2.13 0.08 % 115% 111% 113% 3% 28% 34% 31% 4% 107% 118% 113% 8% 6.5 h RL 2.26 2.21 2.24 0.04 1.51 1.49 1.50 0.01 2.22 2.26 2.24 0.03 % 128% 123% 126% 4% 51% 49% 50% 1% 122% 126% 124% 3% 7 h RL 2.32 2.26 2.29 0.04 1.39 1.40 1.40 0.01 2.37 2.29 2.33 0.06 % 134% 128% 131% 4% 39% 40% 40% 1% 137% 129% 133% 6% 7.5 h RL 2.12 2.16 2.14 0.03 1.27 1.35 1.31 0.06 2.32 2.05 2.19 0.19 % 114% 118% 116% 3% 27% 35% 31% 6% 132% 105% 119% 19%  8 h RL 2.08 2.03 2.06 0.04 1.16 1.28 1.22 0.08 2.12 2.13 2.13 0.01 % 110% 105% 108% 4% 16% 28% 22% 8% 112% 113% 113% 1%

TABLE 26 AHR Results BU Carbachol to Produce PC400 Sheep # 24 h pre-ascaris 24 h post Ascaris Control Trial 2489 24 13 2497 31 13 Drug Trial: Day 22 2489 25 26 2497 26 25 Drug Trial: Day 51 2489 26 13 2497 29 12

As shown in Table 25, treatment with AC000480 resulted in attenuation of AR as well as LR upon challenge on day 22. For example, untreated sheep display a mean LR increase of 126% in R_(L) at 6.5 h compared to baseline, where AC000480 treated sheep on day 22 challenge show a more attenuated LR increase of 50% in R_(L) at 6.5 h compared to baseline. In addition, 24 h after the day 22 Ascaris challenge both AC000480 treated sheep showed no signs of Ascaris induced airway hyperresponsiveness, as shown by equivalent number of carbachol breath units required to produce PC₄₀₀. In contrast, in the control trial without AC000480 treatment, sheep required approximately half the amount of carbachol breath units to induce PC₄₀₀ post-Ascaris challenge, signifying airway hyperresponsiveness.

With no additional dosing after day 15, sheep returned to baseline airway mechanics and AHR upon the day 51 Ascaris challenge.

Example 11. Aerosolized Administration of MUC5AC RNAi Agents in Sheep

The sheep model of allergic asthma airway inflammation described in example 10, above, was used. Three (3) Ascaris sensitive sheep with previously established responses to Ascaris suum challenge were administered 1 mg/kg pulmonary deposited dose levels of AC000482 on days 1, 8 and 15. The chemical structure of AC000482 is shown, for example, in Table 11 and is designed to target position 3535 on the MUC5AC gene. On day 21, AHR was assessed by determining the cumulative carbachol concentration (in breath units, BU) that increased R_(L) to 400% over the post-1×PBS value (PC₄₀₀). On day 22, sheep were challenged with Ascaris suum extract, and R_(L) was monitored out to 8 h post-challenge. On day 23, AHR was again assessed as on day 21.

TABLE 27 Airway Mechanics Results Control (no treatment) Drug Trial: Day 22 Animal # Mean Animal # Mean Timepoint 2485 2515 2535 Mean S.D. 2485 2515 2535 Mean S.D. Baseline RL 0.99 1.00 1.00 1.00 0.01 1.00 1.00 1.00 1.00 0.00 Post- RL 6.43 6.94 6.89 6.75 0.28 5.49 6.44 6.09 6.01 0.48 Ascaris % 549% 594% 589% 577% 24%  449%  544%  509%  501%  48% 1 h RL 4.10 4.67 4.40 4.39 0.29 4.68 4.27 4.10 4.35 0.30 % 314% 367% 340% 340% 26%  368%  327%  310%  335%  30% 2 h RL 2.62 2.51 2.64 2.59 0.07 2.81 2.10 2.05 2.32 0.43 % 165% 151% 164% 160% 8% 181%  110%  105%  132%  43% 3 h RL 1.65 1.46 1.58 1.56 0.10 1.53 1.37 1.31 1.40 0.11 %  67%  46%  58%  57% 10%  53% 37% 31% 40% 11% 4 h RL 1.08 1.09 1.05 1.07 0.02 1.09 1.05 1.04 1.06 0.03 %  9%  9%  5%  8% 2%  9%  5%  4%  6%  3% 5 h RL 1.57 1.53 1.57 1.56 0.02 1.27 1.15 1.18 1.20 0.06 %  59%  53%  57%  56% 3% 27% 15% 18% 20%  6% 6 h RL 1.87 2.10 2.03 2.00 0.12 1.42 1.32 1.23 1.32 0.10 %  89% 110% 103% 101% 11%  42% 32% 23% 32% 10% 6.5 h RL 2.16 2.30 2.15 2.20 0.08 1.66 1.55 1.46 1.56 0.10 % 118% 130% 115% 121% 8% 66% 55% 46% 56% 10% 7 h RL 2.20 2.21 2.23 2.21 0.02 1.54 1.41 1.34 1.43 0.10 % 122% 121% 123% 122% 1% 54% 41% 34% 43% 10% 7.5 h RL 2.27 2.11 2.19 2.19 0.08 1.33 1.24 1.18 1.25 0.08 % 129% 111% 119% 120% 9% 33% 24% 18% 25%  8% 8 h RL 2.10 2.06 2.14 2.10 0.04 1.25 1.16 1.23 1.21 0.05 % 112% 106% 114% 111% 4% 25% 16% 23% 21%  5%

TABLE 28 AHR results BU Carbachol to Produce PC400 Sheep # 24 h pre-ascaris 24 h post Ascaris Control Trial 2485 13 6 2515 22 12 2535 14 6 Drug Trial: Day 22 2485 13 12 2515 24 24 2535 11 11

As shown in Table 27, treatment with AC000482 resulted in minimal attenuation of AR but robust attenuation of LR upon challenge on day 22. For example, untreated sheep display a mean LR increase of 121% in R_(L) at 6.5 h compared to baseline, where AC000482 treated sheep on day 22 challenge show a more attenuated LR increase of 56% in R_(L) at 6.5 h compared to baseline. In addition, 24 h after the day 22 Ascaris challenge all AC000482 treated sheep showed no signs of Ascaris induced airway hyperresponsiveness, as shown by equivalent number of carbachol breath units required to produce PC₄₀₀. In contrast, in the control trial without AC000482 treatment, sheep required approximately half the amount of carbachol breath units to induce PC₄₀₀ post-Ascaris challenge, signifying airway hyperresponsiveness.

Example 12 Aerosolized Administration of MUC5AC RNAi Agents in Sheep

The sheep model of allergic asthma airway inflammation described in example 10, above, was used. Six (6) Ascaris sensitive sheep with previously established responses to Ascaris suum challenge were administered either 0.5 mg/kg pulmonary deposited dose levels of AC000482 (n=3) of 0.25 mg/kg pulmonary deposited dose levels of AC000482 on days 1, 8 and 15. On day 21, AHR was assessed by determining the cumulative carbachol concentration (in breath units, BU) that increased R_(L) to 400% over the post-1×PBS value (PC₄₀₀). On day 22, sheep were challenged with Ascaris suum extract, and R_(L) was monitored out to 8 h post-challenge. On day 23, AHR was again assessed as on day 21.

TABLE 29 Airway mechanics results, 0.5 mg/kg dose level Control (no treatment) Drug Trial: Day 22 Animal # Mean Animal # Mean Timepoint 2489 2497 2520 Mean S.D. 2489 2497 2520 Mean S.D. Baseline RL 0.99 0.99 0.99 0.99 0.00 1.00 1.00 1.00 1.00 0.00 Post- RL 6.66 6.62 7.37 6.88 0.42 6.23 6.38 7.10 6.57 0.47 Ascaris % 573% 569% 644% 595% 43%  523%  538%  610%  557%  47%  1 h RL 4.51 4.40 4.49 4.47 0.06 4.15 4.06 4.33 4.18 0.14 % 356% 344% 354% 351% 6% 315%  306%  333%  318%  14%  2 h RL 2.53 2.57 2.37 2.49 0.11 2.25 2.31 2.10 2.22 0.11 % 156% 160% 139% 152% 11%  125%  131%  110%  122%  11%  3 h RL 1.55 1.53 1.53 1.54 0.01 1.41 1.46 1.35 1.41 0.06 %  57%  55%  55%  55% 1% 41% 46% 35% 41% 6% 4 h RL 1.06 1.21 1.12 1.13 0.08 1.07 1.02 1.04 1.04 0.03 %  7%  22%  13%  14% 8%  7%  2%  4%  4% 3% 5 h RL 1.52 1.66 1.54 1.57 0.08 1.21 1.33 1.38 1.31 0.09 %  54%  68%  56%  59% 8% 21% 33% 38% 31% 9% 6 h RL 2.13 2.09 2.03 2.08 0.05 1.46 1.56 1.52 1.51 0.05 % 115% 111% 105% 110% 5% 46% 56% 52% 51% 5% 6.5 h RL 2.26 2.21 2.21 2.23 0.03 1.68 1.72 1.67 1.69 0.03 % 128% 123% 123% 125% 3% 68% 72% 67% 69% 3% 7 h RL 2.32 2.26 2.30 2.29 0.03 1.62 1.68 1.61 1.64 0.04 % 134% 128% 132% 132% 3% 62% 68% 61% 64% 4% 7.5 h RL 2.12 2.16 2.20 2.16 0.04 1.30 1.41 1.48 1.40 0.09 % 114% 118% 122% 118% 4% 30% 41% 48% 40% 9% 8 h RL 2.08 2.03 2.12 2.08 0.05 1.25 1.26 1.13 1.21 0.07 % 110% 105% 114% 110% 5% 25% 26% 13% 21% 7%

TABLE 30 Airway mechanics results, 0.25 mg/kg dose level Control (no treatment) Drug Trial: Day 22 Animal # Mean Animal # Mean Timepoint 2457 2517 2539 Mean S.D. 2457 2517 2539 Mean S.D. Baseline RL 1.00 1.01 1.00 1.00 0.01 1.00 1.00 1.00 1.00 0.00 Post- RL 6.63 7.29 6.03 6.65 0.63 6.50 7.03 6.26 6.60 0.39 Ascaris % 563% 622% 503% 563% 59% 550%  603%  526%  560%  39%  1 h RL 4.15 4.26 4.50 4.30 0.18 4.09 4.10 4.11 4.10 0.01 % 315% 322% 350% 329% 19% 309%  310%  311%  310%  1% 2 h RL 2.73 2.47 2.59 2.60 0.13 2.23 2.33 2.46 2.34 0.12 % 173% 145% 159% 159% 14% 123%  133%  146%  134%  12%  3 h RL 1.54 1.37 1.62 1.51 0.13 1.45 1.27 1.54 1.42 0.14 %  54%  36%  62%  51% 14% 45% 27% 54% 42% 14%  4 h RL 1.17 1.08 1.03 1.09 0.07 1.07 1.03 1.04 1.05 0.02 %  17%  7%  3%  9%  7%  7%  3%  4%  5% 2% 5 h RL 1.69 1.61 1.29 1.53 0.21 1.43 1.21 1.32 1.32 0.11 %  69%  59%  29%  52% 21% 43% 21% 32% 32% 11%  6 h RL 2.04 2.14 2.26 2.15 0.11 1.62 1.51 1.57 1.57 0.06 % 104% 112% 126% 114% 11% 62% 51% 57% 57% 6% 6.5 h RL 2.18 2.36 2.14 2.23 0.12 1.87 1.78 1.83 1.83 0.05 % 118% 134% 114% 122% 10% 87% 78% 83% 83% 5% 7 h RL 2.12 2.52 2.30 2.31 0.20 1.93 1.89 1.86 1.89 0.04 % 112% 150% 130% 131% 19% 93% 89% 86% 89% 4% 7.5 h RL 2.17 2.35 2.21 2.24 0.09 1.74 1.67 1.68 1.70 0.04 % 117% 133% 121% 124%  8% 74% 67% 68% 70% 4% 8 h RL 2.18 2.30 2.17 2.22 0.07 1.52 1.45 1.55 1.51 0.05 % 118% 128% 117% 121%  6% 52% 45% 55% 51% 5%

TABLE 31 AHR results, 0.5 mg/kg dose level BU Carbachol to Produce PC400 Sheep # 24 h pre-ascaris 24 h post Ascaris Control Trial 2489 24 13 2497 31 13 2520 26 13 Drug Trial: Day 22 2489 26 25 2497 26 24 2520 27 25

TABLE 32 AHR results, 0.25 mg/kg dose level BU Carbachol to Produce PC400 Sheep # 24 h pre-ascaris 24 h post Ascaris Control Trial 2457 10 6 2517 28 13 2539 13 6 Drug Trial: Day 22 2457 13 11 2517 26 25 2539 14 13

As shown in Table 29, treatment with AC000482 at 0.5 mg/kg dose level resulted in minimal attenuation of AR but robust attenuation of LR upon challenge on day 22. For example, untreated sheep display a mean LR increase of 125% in R_(L) at 6.5 h compared to baseline, where AC000482 treated sheep on day 22 challenge show a more attenuated LR increase of 69% in R_(L) at 6.5 h compared to baseline. In addition, 24 h after the day 22 Ascaris challenge all AC000482 treated sheep showed no signs of Ascaris induced airway hyperresponsiveness, as shown by similar number of carbachol breath units required to produce PC₄₀₀. In contrast, in the control trial without AC000482 treatment, sheep required approximately half the amount of carbachol breath units to induce PC₄₀₀ post-Ascaris challenge, signifying airway hyperresponsiveness.

As shown in Table 30, treatment with AC000482 at 0.25 mg/kg dose level resulted in minimal attenuation of AR but robust attenuation of LR upon challenge on day 22. For example, untreated sheep display a mean LR increase of 122% in R_(L) at 6.5 h compared to baseline, where AC000482 treated sheep on day 22 challenge show a more attenuated LR increase of 83% in R_(L) at 6.5 h compared to baseline. In addition, 24 h after the day 22 Ascaris challenge all AC000482 treated sheep showed no signs of Ascaris induced airway hyperresponsiveness, as shown by similar number of carbachol breath units required to produce PC₄₀₀. In contrast, in the control trial without AC000482 treatment, sheep required approximately half the amount of carbachol breath units to induce PC₄₀₀ post-Ascaris challenge, signifying airway hyperresponsiveness.

Collectively, the results demonstrate dose-responsive impacts of AC000482 treatment on airway mechanics following Ascaris challenge. The results show that even at the lowest dose of AC000482, the impact on the late phase response is still substantial enough to block airway hyperresponsiveness 24 h post challenge.

Example 13. Aerosolized Administration of MUC5AC RNAi Agents in Sheep

The sheep model of allergic asthma airway inflammation described in example 10, above, was used. Six (6) Ascaris sensitive sheep with previously established responses to Ascaris suum challenge were administered, on days 1, 8 and 15, with either 1.0 mg/kg pulmonary deposited dose levels of AC000480 or 1.0 mg/kg pulmonary deposited dose of a negative control siRNA conjugate that included the same targeting ligand but is unable to load into the RISC complex and therefore is unable to mediate RNA interference gene silencing. On day 21, AHR was assessed by determining the cumulative carbachol concentration (in breath units, BU) that increased R_(L) to 400% over the post-1×PBS value (PC₄₀₀). On day 22, sheep were challenged with Ascaris suum extract, and R_(L) was monitored out to 8 h post-challenge. On day 23, AHR was again assessed as on day 21. Sheep dosed with AC000480 attenuated allergen-induced late-phase reaction and airway hyperresponsiveness in a dose dependent manner, while similar exposure of the negative control conjugate did not attenuate allergen-induced changes in airway mechanics.

OTHER EMBODIMENTS

It is to be understood that while the invention has been described in conjunction with the detailed description thereof, the foregoing description is intended to illustrate and not limit the scope of the invention, which is defined by the scope of the appended claims. Other aspects, advantages, and modifications are within the scope of the following claims. 

1. An RNAi agent for inhibiting expression of a Mucin 5AC gene, comprising: an antisense strand comprising at least 17 contiguous nucleotides differing by 0 or 1 nucleotides from any one of the sequences provided in Table 2 or Table 3; and a sense strand comprising a nucleotide sequence that is at least partially complementary to the antisense strand.
 2. (canceled)
 3. The RNAi agent of claim 1, wherein the sense strand comprises a nucleotide sequence of at least 17 contiguous nucleotides differing by 0 or 1 nucleotides from any one of the sequences provided in Table 2 or Table 4, and wherein the sense strand has a region of at least 85% complementarity over the 17 contiguous nucleotides to the antisense strand.
 4. The RNAi agent of claim 1, wherein at least one nucleotide of the RNAi agent is a modified nucleotide or includes a modified internucleoside linkage.
 5. (canceled)
 6. The RNAi agent of claim 4, wherein the modified nucleotide is selected from the group consisting of: 2′-O-methyl nucleotide, 2′-fluoro nucleotide, 2′-deoxy nucleotide, 2′,3′-seco nucleotide mimic, locked nucleotide, 2′-F-arabino nucleotide, 2′-methoxyethyl nucleotide, abasic nucleotide, ribitol, inverted nucleotide, inverted 2′-O-methyl nucleotide, inverted 2′-deoxy nucleotide, 2′-amino-modified nucleotide, 2′-alkyl-modified nucleotide, morpholino nucleotide, vinyl phosphonate-containing nucleotide, cyclopropyl phosphonate-containing nucleotide, and 3′-O-methyl nucleotide.
 7. (canceled)
 8. The RNAi agent of claim 1, wherein the antisense strand comprises the nucleotide sequence of any one of the modified antisense strand sequences provided in Table 3 or Table
 11. 9. The RNAi agent of claim 1, wherein the sense strand comprises the nucleotide sequence of any one of the modified sense strand sequences provided in Table 4 or Table
 11. 10. (canceled)
 11. The RNAi agent of claim 1, wherein the sense strand is between 18 and 30 nucleotides in length, and the antisense strand is between 18 and 30 nucleotides in length. 12-16. (canceled)
 17. The RNAi agent of claim 1, wherein the sense strand comprises one or two inverted abasic residues.
 18. The RNAi agent of claim 1, wherein the RNAi agent comprises a sense strand and an antisense strand that form a duplex having the structure of any one of the duplexes in Table 8A, Table 8B, Table 8C, Table 9, Table 10A, or Table 10B.
 19. (canceled)
 20. The RNAi agent of claim 1, wherein the antisense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′): (SEQ ID NO: 79)   UUGUAGUAGUCGCAGAACA; or (SEQ ID NO: 83) UUCUUGUUCAGGCAAAUCA.


21. The RNAi agent of claim 1, wherein the antisense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′): (SEQ ID NO: 1525)   UUGUAGUAGUCGCAGAACAGC; or (SEQ ID NO: 1535) UUCUUGUUCAGGCAAAUCAGC.


22. The RNAi agent of claim 1, wherein the sense strand consists of, consists essentially of, or comprises a nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′): (SEQ ID NO: 568)   UGUUCUGCGACUACUACAA; or (SEQ ID NO: 572) UGAUUUGCCUGAACAAGAA.


23. (canceled)
 24. The RNAi agent of claim 1, wherein the antisense strand comprises, consists of, or consists essentially of a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′): (SEQ ID NO: 1127)   cPrpusUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1065) usUfsgsUfaGfuAfgUfcGfcAfgAfaCfaGfsc; (SEQ ID NO: 1166) usUfscsuuguucagGfcAfaAfucagsc; or (SEQ ID NO: 1191) cPrpuUfcuuguucagGfcAfaAfucagsc;

wherein a, c, g, and u represent 2′-O-methyl adenosine, 2′-O-methyl cytidine, 2′-O-methyl guanosine, and 2′-O-methyl uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, 2′-fluoro cytidine, 2′-fluoro guanosine, and 2′-fluoro uridine, respectively; cPrpu represents a 5′-cyclopropyl phosphonate-2′-O-methyl uridine; s represents a phosphorothioate linkage; and wherein all or substantially all of the nucleotides on the sense strand are modified nucleotides.
 25. The RNAi agent of claim 1, wherein the sense strand comprises, consists of, or consists essentially of a modified nucleotide sequence that differs by 0 or 1 nucleotides from one of the following nucleotide sequences (5′→3′): (SEQ ID NO: 1265)   gscuguucuGfCfGfacuacuacaa; or (SEQ ID NO: 1315) gscugauUfuGfcCfugaacaagaa;

wherein a, c, g, and u represent 2′-O-methyl adenosine, 2′-O-methyl cytidine, 2′-O-methyl guanosine, and 2′-O-methyl uridine, respectively; Af, Cf, Gf, and Uf represent 2′-fluoro adenosine, 2′-fluoro cytidine, 2′-fluoro guanosine, and 2′-fluoro uridine, respectively; and s represents a phosphorothioate linkage; and wherein all or substantially all of the nucleotides on the antisense strand are modified nucleotides.
 26. (canceled)
 27. The RNAi agent of claim 1, wherein the RNAi agent is linked to a targeting ligand. 28-30. (canceled)
 31. The RNAi agent of claim 27, wherein the targeting ligand comprises the structure:

or a pharmaceutically acceptable salt thereof, or

or a pharmaceutically acceptable salt thereof, wherein

indicates the point of connection to the RNAi agent.
 32. The RNAi agent of claim 27, wherein RNAi agent is conjugated to a targeting ligand having the following structure:

or a pharmaceutically acceptable salt thereof, wherein

indicates the point of connection to the RNAi agent. 33-43. (canceled)
 44. A method for inhibiting expression of a MUC5AC gene in a cell, the method comprising introducing into a cell an effective amount of an RNAi agent of claim
 1. 45. The method of claim 44, wherein the cell is within a subject. 46-47. (canceled)
 48. A method of treating one or more symptoms or diseases associated with MUC5AC protein levels, the method comprising administering to a human subject in need thereof a therapeutically effective amount of the RNAi agent of claim
 1. 49. The method of claim 48, wherein the disease is a mucoobstructive lung disease.
 50. The method of claim 49, wherein the mucoobstructive lung disease is asthma (including severe asthma), cystic fibrosis (CF), bronchiectasis (NCFB), or chronic obstructive pulmonary disease (COPD).
 51. (canceled)
 52. The method of claim 48, wherein the disease is cancer.
 53. The method of claim 52, wherein the cancer is lung adenocarcinoma, pancreatic cancer, salivary gland carcinoma, breast cancer, cholangiocarcinoma, or ovarian cancer.
 54. The method of claim 44, wherein the RNAi agent is administered at a pulmonary deposited dose (PDD) of about 0.01 mg/kg to about 5.0 mg/kg of body weight of the subject.
 55. (canceled)
 56. The method of claim 44, wherein the RNAi agent is administered at a respirable delivered dose (RDD) of about 0.01 mg/kg to about 5.0 mg/kg of body weight of the subject. 57-65. (canceled) 